Yatendra Singh6, Soniya1*, Mahendra Kumar2, Makrand Singh V. Satyawali4, Ankita Rajput5,, 1 P G –III Year, Department of General Medicine, Government Medical College, Haldwani, Distt. Nainital, Uttarakhand, India. 2Professor & Head, Department of General Medicine, Government Medical College, Haldwani, Distt., Nainital, Uttarakhand, India. 3Associate Professor, Department of General Medicine, Government Medical College, Haldwani, Distt., Nainital, Uttarakhand, India. 4Associate Professor, Department of General Medicine, Government Medical College, Haldwani, Distt., Nainital, Uttarakhand, India. 5Assistant Professor, Department of General Medicine, Government Medical College, Haldwani, Distt-Nainital, Uttarakhand, India. 6Assistant Professor, Department of General Medicine, Government Medical College, Haldwani, Distt., Nainital., Uttarakhand, India., India