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Create Death Certificate
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Hospital
Government Name
सरकार का नाम
Top Left No. in Local Language
Top Right No. in Local Language
Department Name
विभाग का नाम
Hospital Name
अस्पताल का नाम
Birth Certificate in Local Language - जन्म प्रमाण पत्र - स्थानीय भाषा मे
लाइन नंबर 1
Type Your STATE NAME Instead Of AAA [In Local Language]
Line no. 1
Type Your STATE NAME Instead Of AAA
लाइन नंबर 2
Type Your HOSPITAL NAME Instead Of AAA, TEHSIL⟺BBB, DISTRICT⟺CCC and STATE NAME⟺DDD [In Local Language]
Line no. 2
Type Your HOSPITAL NAME Instead Of AAA, TEHSIL⟺BBB, DISTRICT⟺CCC and STATE NAME⟺DDD
Name in Local Language
Gender in Local Language
Date Of Death in Local Language
Place Of DEATH in Local Language
Mother Name in Local Language
Father Name in Local Language
ADDRESS OF THE DECEASED AT THE TIME OF DEATH [ Local Language ]
AGE OF DECEASED [ LOCAL ]
PERMANENT ADDRESS OF DECEASED
REGISTRATION NUMBER in Local Language
DATE OF REGISTRATION in Local Language
Remarks in Local Language
DATE OF Issue in Local Language
ISSUING AUTHORITY in Local Language
Registrar in Local Language
Registrar
Hospital Stamp in Local Language
*
Hospital Name as on Stamp (English)
*
NAME OF HUSBAND / WIFE [ Local ]
HUSBAND / WIFE AADHAAR NO [ Local ]
Aadhar Number in Local Language
Last Line in Local Language
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