The Pakistan Journal of Advances in Medicine and Medical Research is published biannually. All published papers represent the author's viewpoint and do not reflect the journal's official position. The Journal of the Pakistan Medical Association reserves all rights. Without the previous written consent of the Pakistan journal of Advances in Medicine And Medical Research, no part of the Journal may be reproduced, stored in a retrieval system, or transmitted in any form or by any other means, electronic, mechanical photocopying, recording, or otherwise.

Nowshera Medical College Nowshera, kpk , Pakistan 

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