first take script manager on your aspx page
<asp:ScriptManager ID="ScriptManager1" runat="server">
</asp:ScriptManager>
after use the following server side code
protected void btnexamsubmit_Click(object sender, EventArgs e)
{
.
.
ScriptManager.RegisterStartupScript(this.Page, Page.GetType(), "test", "ShowConfirm();", true);
}