PROMISSORY NOTE

$100,000.00                                                   New York, New York
                                                          As of October 29, 1996


                  FOR VALUE  RECEIVED,  FIRST  MEDICAL  COPORATION,  a  Delaware
corporation,  with its principal  place of business  located at 1055  Washington
Boulevard, Stamford, CT 06901 ("Maker"), does hereby promise to pay to the order
of  Salvatore J. Zizza,  an  individual  with mailing  address at c/o The Lehigh
Group Inc., 810 Seventh Avenue, Suite 27 F, New York, New York 10019 ("Holder"),
or at such other address or at such other place as may be  designated  from time
to time by notice  from  Holder  to  Maker,  the  principal  sum of ONE  HUNDRED
THOUSAND  DOLLARS  ($100,000.00);  together with interest  accrued thereon at an
interest  rate per annum equal to 8% from the date  hereof.  The  principal  and
accrued  interest  amount of this Note  shall  become due and  payable  upon the
earliest to occur of (1) January 15, 1997, (2) exercise, in whole or in part, of
the stock  option  granted by Holder to Maker  pursuant to that  certain  letter
agreement dated October 29, 1996, or (3) termination of such letter agreement in
accordance with its terms.  Except as otherwise  provided below,  interest shall
accrue on the  outstanding  principal  balance  then  outstanding  from the date
hereof until  repaid,  but shall not be payable  with  respect to the  principal
amount of this Note until the principal is due and payable in full in accordance
with the terms hereof when such interest shall become due and payable.  Interest
on this Note shall be  computed  on a basis of a year of 360 days for the actual
number of days elapsed (including the first day but excluding the last day).

         1.       EVENTS OF DEFAULT

         The  occurrence  of any of the  following  events with respect to Maker
shall  constitute  an event of default  which shall  cause the entire  principal
amount of this Note and accrued  interest to become  immediately due and payable
without the necessity for any demand on Maker:

                  (a) If Maker shall  default in the payment of principal or any
         interest when due and such default shall have continued  unremedied for
         a period of thirty (30) days; or

                  (b) If Maker  shall  make an  assignment  for the  benefit  of
         creditors, or file a voluntary petition under the U.S. Bankruptcy Code,
         as  amended  (the  "Bankruptcy  Code"),  or any other  federal or state
         insolvency  law,  or  apply  for or  consent  to the  appointment  of a
         receiver, trustee or custodian of all or part of his property; or


                  (c) If Maker shall file an answer  admitting the  jurisdiction
         of the court and the material  allegations of an  involuntary  petition
         filed  against him under the  Bankruptcy  Code or any other  federal or
         state insolvency law; or

                  (d) If a proceeding  shall be commenced  against Maker seeking
         the  appointment of a trustee,  receiver or custodian of all or part of
         Maker's  property and such proceeding shall not be dismissed within two
         (2) days after its commencement.

         2.       PREPAYMENT

         This Note may be prepaid  without  penalty  or premium at any time,  in
whole or in part, upon not less than two (2) days' prior written notice.

         3.       MISCELLANEOUS PROVISIONS

                  (a) Failure to exercise  Holder's  rights  hereunder shall not
         constitute  a waiver of the right to exercise  same in the event of any
         subsequent default.

                  (b) Maker and Holder hereby irrevocably submit to the personal
         jurisdiction  of any state or Federal court sitting in the State of New
         York over any suit, action or proceeding  arising out of or relating to
         this Note.  Maker and Holder  hereby  irrevocably  waive to the fullest
         extent  permitted by applicable  law any  objection  which they have or
         hereafter  have to  laying  of the  venue of any such  suit,  action or
         proceeding  brought  in such a court and any claim  that any such suit,
         action or  proceeding  brought  in such a court has been  brought in an
         inconvenient  forum.  Maker and  Holder  hereby  agree to submit to the
         exclusive  jurisdiction  of the courts of the state of New York for the
         purpose of resolving any action or claim arising out of the performance
         of the provisions of this Note.

                  (c) Maker expressly waives any right to a trial by jury in any
         action to enforce  this Note.  Maker also waives the right to interpose
         in any  proceeding  to collect  this  Note,  any  set-off,  affirmative
         defense or  counterclaim  of any nature  except those  asserted in good
         faith that specifically arise under this Note.

                  (d)  This  Note  shall be  construed  in  accordance  with and
         governed by the laws of the state of Delaware.

                  (e) Maker expressly waives presentment for payment, demand and
         protest,  notice of  protest  and  dishonor,  and all other  notices in
         connection with the delivery, acceptance,


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         performance default or enforcement of the payment of this Note.

                  (f)  This  Note  may not be  modified  nor  shall  any  waiver
         hereunder be effective  unless in writing  signed by the party  against
         whom the same is asserted.

         IN WITNESS  WHEREOF,  this Note has been executed on behalf of Maker as
of the day and year first above written.


                                        FIRST MEDICAL CORPORATION


                                        By: /s/ Dennis A. Sokol
                                            -------------------------------
                                            Name:  Dennis A. Sokol
                                            Title: Chairman


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