A 52-year-old man from rural Maharashtra presents to the primary health centre with a 3-month history of persistent cough and breathlessness. He is a known hypertensive on irregular treatment. On examination, he has elevated BP (160/100 mmHg) and bilateral basal crackles. The PHC worker suspects chronic obstructive pulmonary disease (COPD) complicated by heart failure. According to NPCDCS guidelines, what is the most appropriate next step in management at the PHC level?

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