condition started worsening and deteriorating and when evaluated clinically gross pallor was evident which was confirmed by laboratory investigations which showed hemoglobin percentage of 3.8gm%, thus he was suffering from sever anaemia. At the same time his blood pressure was also very high 180/120mmhg despite regular treatment. He was immediately referred to Jayanagar General Hospital on emergency in view of severe anaemia, exacerbated bronchial asthama with laboured breathing, fail in SpO2 saturation and semiconscious stated on 07-11-2020. he was admitted in Jayanager General Hospital on the same day i.e. Date of Admission 07-11-2020, 4:59 pm date of discharge 15-11-2020 with UHID No.2020086315 Admission ID 20209508 MRD No.75396 under General medicine Unit II. After detailed evaluation, he was diagnosed to be suffering from severe anaemia, Vitamin B12 deficiency, Bronchial asthama, COPD (Chronic Obstructive Pulmonary Disease) He was treated with three units of blood transfusion along with other necessary medications. He was discharge on 15-11-2020. Following discharge from Jayanagar General Hospital he was again admitted in Central Prison Hospital Room 17 for continuous and constand observation and treatment and follow-up. He was treated with IV, Injectable iron prepations, Injection Vitamin B12 very frequently and regularly as per the prescription and advice of the consultant doctors of Jayanagar General Hospital.