The document is a letter from the head of the Nursing Association of Nepal (NAN) branch of the BP Koirala Institute of Health Sciences wishing nurses a happy International Nurses Day. It discusses the history and themes of International Nurses Day and the important role of nurses in healthcare. It provides statistics about nursing education and the healthcare system in Nepal, noting challenges like shortages and uneven distribution of trained healthcare workers. The letter encourages all nurses to uphold this year's Nurses Day theme of being agents of change for improving health.