Birth Reporting X

From

Death Reporting X

From

Add / Update Hospital — Birth Certificate

Just pick a state — Govt name, Dept name, language labels & line-1 text auto-fill in that state's local script. Logos / sign / stamp are auto-copied from any existing same-state hospital. Type Hospital name and Line-2 manually, then save.

Clone from existing hospital (optional)

Filter list by state

Tip: Pick a hospital above → all 30+ fields auto-fill. Then change only Hospital name / city to add a new variant in seconds.

1. State & Hospital identity

State *

Hospital (City / Unique key) * MANUAL

2. Government & Department

Government Name (English)

सरकार का नाम (Local)

Department Name (English)

विभाग का नाम (Local)

Top Left No. (Local)

Top Right No. (Local)

3. Hospital Name (English & Local)

Hospital Name (English)

अस्पताल का नाम (Local)

4. Certificate header text

Birth Certificate title (Local)

Line 1 — Local

Line 1 — English

Line 2 — Local MANUAL

Line 2 — English MANUAL

5. Field labels (Local)

Name (Local)

Gender (Local)

Date Of Birth (Local)

Place Of Birth (Local)

Mother Name (Local)

Father Name (Local)

Address of Parents at time of birth (Local)

Permanent Address of Parents (Local)

Registration Number (Local)

Date of Registration (Local)

Remarks (Local)

Date of Issue (Local)

Issuing Authority (Local)

Aadhar Number (Local)

6. Registrar & Stamp text

Registrar (Local)

Registrar (English)

Hospital Stamp (Local)

Hospital Stamp (English)

Last line on certificate (Local)

7. Logos & Signatures (image upload — optional)

Leave any of these empty — if a hospital for the same state already exists, its logos / sign / stamp will be auto-copied to this new entry on save.

State Logo (PNG/JPG)

Form Logo (PNG/JPG)

Signature (PNG/JPG)

Hospital Stamp (PNG/JPG)

View Hospital List