NINS_CODE/bahmni_config/openmrs/apps/customDisplayControl/views/deathInfoFooter.html
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2024-12-12 22:37:39 +06:00

32 lines
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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>