What Causes Bleeding In Nose Along With Haemoptysis?

While coughing my wife gets blood and couple of times she had nose bleeding. Therefore she had suptum examination. Report says gram strain: few epithelial cells, few pulse cells, few gpc s in pair, short chains & occ GNB s seen wet Mount: AFB STAIN: Negative Organism isolated: Commensal Flora Can You please explain this report. Anything serious?