NINS_CODE/bahmni_config/openmrs/apps/customDisplayControl/views/deathInfoFooter.html

<div>
    <div style="margin-top: 5px;margin-bottom: 5px;margin-left: 6px">
        <span style="font-size: 13px;"><b>Name: </b>{{providerName}}</span>
        <span style="font-size: 13px;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<b>Position:</b> {{providerDesignation}} </span>
        <span style="font-size: 13px;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>BMDC Reg. No:</b> {{providerBMDCNumber}}</span>
    </div>
    <table >

        <tr >
            <td><br>
                <br>

                <span style="position: relative;top:5px;"><b>Bangladesh Form No: </b> &nbsp; {{formNo}}</span></td>
            <td style="text-align: center;width: 300px">
                <br>
                <br>
                <br>
                .............................................................<br>
                <span>Signature with Date<br>
                <br>
                </span>
            </td>
            <td style="text-align: center;">
                <br>
                <br>
                <span style="padding-left: 40px;padding-right: 40px;position: relative;top:6px;">&nbsp;&nbsp;Seal &nbsp;&nbsp;</span>
            </td>
        </tr>
    </table>
</div>