---
title: "Printing and Setting Up Letter Pad Header"
description: "How to customize letter pad headers for prescriptions and reports — upload logos, configure margins, and set paper sizes at org or doctor level."
date: 2026-07-19
lastModified: 2026-07-19
category: "admin"
author: "Dr. Umesh Bilagi"
beta: true
---

## Overview

NICE HMS prints prescriptions and reports as PDFs opened in the browser. You can customize the header — either for use with preprinted letter pads or to print the full layout on plain paper.

## Two Approaches

| Approach | How It Works |
|----------|-------------|
| **Preprinted letter pad** | Upload a blank/transparent PNG matching the height of your preprinted paper. The system prints only the content below the header space. |
| **Plain paper** | Upload a PNG with your full letterhead design (logo, clinic name, address, registration numbers). The system prints the complete page. |

## Organization-Level Header (Admin)

This applies to all doctors in the organization:

1. From the sidebar, click **Admin**.
2. In the Organization section, click **Uploads**.
3. Navigate to the **Uploads to Organization** page.
4. Choose a **PNG** image from your computer for the header.
5. Ensure the image dimensions match your paper size to avoid distortion.
6. From the dropdown, select the document type:
   - **Patient Record Header** — Used for all prescriptions and patient records
   - Other dropdown options cover reports, lab bills, and pharmacy bills

**Important:** Only users with the Admin role can upload organization-level images.

## Doctor-Level Header

When each doctor needs their own letterhead:

1. From the sidebar, the doctor clicks **Doctor**.
2. Select their name from the table.
3. Click their **ID** to open the Doctor Management page.
4. Upload a custom letter pad header for their prescriptions.

## Paper Size and Margin Configuration

Admins can also configure from Admin > Uploads:

| Setting | Purpose |
|---------|---------|
| **Paper Size** | A4, Letter, or custom |
| **Header Height** | Matches your preprinted letterhead height |
| **Left/Right Margins** | Fine-tune print alignment |
| **Footer Lines** | Space reserved at the bottom |

## Printing Workflow

1. Generate the document (prescription, report, bill).
2. The PDF opens in a new browser tab.
3. Press **Ctrl+P** (or Cmd+P on Mac) to print.
4. After printing, use the browser's back button to return to NICE HMS.

On mobile devices, you can share the PDF via WhatsApp or email instead of printing.

## FAQ

**Q: What image format is required?**
A: PNG only. Ensure good resolution — blurry images print poorly.

**Q: Can different doctors have different letterheads?**
A: Yes. Doctor-level uploads override the organization-level header for that doctor's prescriptions only.