The impression at discharge for this patient  around the last week of April was:

Low-backache due to lumbo sacral strain

Cirrhosis due to undetermined cause

Was continued on anticoagulants for his double valve replacement.

Follow up awaited.

best wishes,
ArogyaUDHC team

PS: Rakesh Biswas is morally and legally responsible for this suggestion and ArogyaUDHC team is working under the hypothesis that informational support (such as this) for the patient and local physician is likely to be beneficial toward achieving better health outcomes."