Note: Print the death certificate from view summary.
Fiscal Year : {{CurrentCertificate.FiscalYearName}} DeathCertificate No : {{CurrentCertificate.CertificateNumber}}

Medical Certificate of Death



This is to certify that Mr./Mrs/Ms {{selectedPatient.Name}} son/daughter of Mr Ms spouse of Mr/Ms as per hospital record resident of country {{PatientAddress.Country}} district {{PatientAddress.CountryDivision}} {{GeneralFieldLabel.Municipality}} {{PatientAddress.Street}} ward number {{selectedPatient.BedInformation.BedCode}} tole {{PatientAddress.Zip}} and inpatient/emergency number expired on time (24 hours) at the age of {{selectedPatient.DateOfBirth | DanpheDateTime:'age' }} (day/month/year). His/her cause of death was
      This is to certify that Mr./Mrs/Ms {{selectedPatient.Name}} son/daughter of Mr {{CurrentCertificate.FatherName}} Ms {{CurrentCertificate.MotherName}} spouse of Mr/Ms {{CurrentCertificate.Spouse}} as per hospital record resident of country {{PatientAddress.Country}} district {{PatientAddress.CountryDivision}} {{GeneralFieldLabel.Municipality}} {{PatientAddress.Street}} ward number {{selectedPatient.BedInformation.BedCode}} tole {{PatientAddress.Zip}} and inpatient/emergency number expired on BS (AD MM//DD/YYYY) time {{CurrentCertificate.DeathTime}} (24 hours) at the age of {{selectedPatient.DateOfBirth | DanpheDateTime:'age' }} (day/month/year). His/her cause of death was {{CurrentCertificate.DeathCause}}
Issued By Hospital/Health Facility
Signature : ______________________
Name : {{CertifiedByName}}
Designation :______________________{{CertifiedByDesignation}}
NMC No : ______________________{{MNC}}
Name : {{HospitalDetails.hospitalName}}
Address: {{HospitalDetails.address}}