Fiscal Year : {{deadPat.FiscalYearFormatted}} | Certificate No : {{deadPat.CertificateNumber}} |
Certified By
Signature : ______________________
Name : ______________________{{CertifiedSignatory.FullName}}
Designation :______________________ {{CertifiedSignatory.LongSignature}}
Hospital/Health Facility
Name: {{HospitalDetails.hospitalName}}
Address: {{HospitalDetails.address}}