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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
Line no. 1
लाइन नंबर 2
Line no. 2
Name in Local Language
Gender in Local Language
Date Of Birth in Local Language
Place Of Birth in Local Language
Mother Name in Local Language
Father Name in Local Language
ADDRESS OF PARENTS AT THE TIME OF BIRTH OF THE CHILD [ Local Language ]
PERMANENT ADDRESS OF PARENTS
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
Aadhar Number in Local Language
Last Line in Local Language
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