How long has the fish had the red spots on its nose for?
How long have you had that fish for?
Did you add any new fish within 2 weeks of the spots appearing?
How often do you do water changes and how much do you change?
Do you use a gravel cleaner to suck the gunk out of the substrate when you do water changes?
Do you dechlorinate the new water before it is added to the tank?
How often do you clean the filter and how do you clean it?
I saw the test strip but without a colour chart to compare it to I have no idea what the results are. What were the actual test results (in numbers)?
It looks like physical damage that might have been caused by the fish swimming into something or grubbing about in the gravel. As Wilder suggested, monitor and if it gets worse then post another picture with updated information.
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A couple of points about your tank. You have a water lily by the filter outlet. Water lilies don't tolerate water getting on the top of their leaves and rot in humid conditions. Is there any chance you could move your filter to the other side of the tank, or move the plant to the other side, preferably the filter tho so the plant doesn't get damaged now it's starting to grow.
There are 3 Swordplants in the tank near each other. These plants can get pretty big and will eventually shade each other. If you spread them out a bit more (move them further apart), they will do better because they will have more room to grow and get more light.
On the left side of the tank you have Ambulia and then Hygrophila rubra? in the back corner. The Ambulia will grow to 3 or 4 foot long, whereas the Hygrophila usually only grows to about 1 ft. As the Ambulia grows you might want to take some cuttings from it and plant them along the back, and when the H. ruba grows take cuttings and put them at the front. Then you will have taller plants at the back and short plants near the front.
All in all tho the tank looks quite nice