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What OS are you using?
And yes, that is a very old vid card. You'll see hugely better performance by upgrading even if there isn't anything physically wrong with it, but it does seem like there is.
If you can get your hands on any other vid card to just test it to see if that is the only problem, that would be best. It's possible there are other things wrong, but with what you have said, it definitely points to the vid card.
MF
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