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Globally, Tuberculosis (T is one of the top 10 causes of death. In Nepal, poverty and malnutrition aggravate the burden of TB. To identify putum is the best sample to identify the bacterium which is helpful for diagnosis. The aim of this study is to identify the situation, burden and challenges of pulmonary tuberculosis in low-middle income country like Nepal. A retrospective-audit with reliable-secondary-data of one year was collected (n=4131). Descriptive-analysis was performed using frequency, percentage and analytical using chi-squ
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