[1]Department of General Practice and Emergency Medicine Manmohan Medical College and Teaching Hospital Swoyambhu Kathmandu Nepal;
[2]Department of General Practice and Emergency Medicine Patan Academy of Health Sciences PAHS Patan Nepal;
[2]Department of General Practice and Emergency Medicine Patan Academy of Health Sciences PAHS Patan Nepal;
[3]Department of General Practice and EmergencyMedicine KISTMedical College Hospital Patan Nepal;
[4]Department of General Practice and Emergency Medicine KMCMedical College Hospital Kathmandu Nepal;
[2]Department of General Practice and Emergency Medicine Patan Academy of Health Sciences PAHS Patan Nepal;