---
title: "Printing and Setting Up Letter Pad Header"
description: "How to upload letterhead images, configure preprinted stationery margins, set paper sizes, and manage doctor-level signatures and OPD print templates."
date: 2026-07-19
lastModified: 2026-09-30
category: "admin"
author: "Dr. Umesh Bilagi"
beta: false
---

## Overview

NICE HMS supports two printing workflows through two separate admin pages:

| Workflow | How It Works |
|----------|-------------|
| **Plain paper + digital header** | Upload a letterhead image. The PDF includes it at the top — content flows below. |
| **Preprinted stationery** | Use physical paper that already has the letterhead. Configure how many lines to skip at the top and bottom so content aligns with the preprinted design. |

Both are configured from the **Organization Uploads** page. Doctor-level uploads handle signatures, OPD print templates, and personal letter pad headers.

Access differs by page: the **Organization Uploads** page is limited to the **admin** role; the doctor-level upload pages are available to **admin**, **director**, and **doctor** roles.

## Organization-Level Setup

### Access

**Sidebar → Admin → Uploads** (`/admin/admin/org/uploads/{organizationId}`)

This page has two sections:

### Image Upload

Upload a letterhead image — this is the **top strip** of your letter pad (logo, clinic name, address, registration numbers), not a full-page background. The system renders content below it.

| Field | Description |
|-------|-------------|
| **Headers for Printing** | Choose which document type the image applies to |
| **Paper Size** | Select the paper size for this header |
| **File** | Image file — PNG, JPG, GIF, or WebP (SVG is not supported), max 200 KB |

**Header types:**

| Option | Field | Appears On |
|--------|-------|------------|
| **Logo** | `logoUrl` | General branding |
| **Patient Record Header** | `patientRecordHeaderUrl` | OPD slips, discharge summaries, prescriptions |
| **Report Header** | `reportHeaderUrl` | Lab and radiology reports |
| **Account Header** | `accountHeaderUrl` | Invoices, bills, receipts |
| **Account Header Pharmacy** | `accountHeaderPharmacyUrl` | Pharmacy-specific invoices |
| **Account Header Lab** | `accountHeaderLabUrl` | Lab-specific invoices |

**Paper sizes available:** A0, A1, A2, A3, A4, A5, A6, Letter, Legal, Ledger, Tabloid

Paper size is chosen per upload, not set globally — you can have different sizes for different header types.

### Preprinted Stationery Configuration

If you use physical preprinted letterhead paper, configure how much space to reserve so printed content doesn't overlap the preprinted design.

**Header and Footer lines:**

| Setting | Purpose |
|---------|---------|
| **Patient Record HeaderLines** | Lines to skip at top of patient records |
| **Report Header Lines** | Lines to skip at top of reports |
| **Account Header** | Lines to skip at top of invoices |
| **Account Header Pharmacy** | Lines to skip at top of pharmacy invoices |
| **Patient Record FooterLines** | Lines reserved at bottom of patient records |
| **Report Footer Lines** | Lines reserved at bottom of reports |
| **Account Footer Pharmacy** | Lines reserved at bottom of pharmacy invoices |
| **Account Footer** | Lines reserved at bottom of invoices |

**Margins:**

| Setting | Purpose |
|---------|---------|
| **Patient Record Left Margin** | Left margin for patient records |
| **Report Left Margin** | Left margin for reports |
| **Patient Record Right Margin** | Right margin for patient records |
| **Report Right Margin** | Right margin for reports (labeled "Report Left Margin" in the UI) |

## Doctor-Level Uploads

There are two pages for doctor-level images:

### Signature and OPD Print (Admin)

**Sidebar → Admin → Doctor → Uploads** (`/admin/admin/doctor/uploads`)

1. Select a doctor from the dropdown.
2. Choose the image type:
   - **Signature** — doctor's signature image, appears on prescriptions
   - **OPD Print** — custom print template overlay (e.g., an eye diagram for an ophthalmologist)
3. Select a **Paper Size**.
4. Upload the image (PNG, JPG, GIF, or WebP — not SVG; max 200 KB; up to 4 files).

### Personal Letter Pad Header (per doctor)

Use this when **each doctor needs their own letterhead**.

**Sidebar → Doctor → (select doctor) → ID** — opens `/admin/doctor/doctor-mangement/{doctorId}?docuserid={userId}`. Both values are the doctor's ID.

1. Open the doctor's page from the **ID** column of the doctor list.
2. Under **Upload Image For Doctor Personal Letter Pad Header**, choose the header type (**Letter Pad Header**) and a **Paper Size**.
3. Upload the image — PNG, JPG, GIF, or WebP (SVG is not supported), max 200 KB.
4. The upload saves immediately. Uploading again replaces the previous image.

Notes:

- **Who can do it:** **admin**, **director**, and **doctor** roles. A doctor can set their own letterhead; an admin or director can set it for any doctor.
- **One doctor at a time.** There is no bulk upload — open each doctor's page and upload separately.
- **No personal header set?** That doctor's documents fall back to the organization's Patient Record Header.

#### What the doctor header overrides

A doctor's personal header replaces **only the Organization-level Patient Record Header**, and only on the documents that doctor authors:

| Document | Which header is used |
|----------|----------------------|
| **Prescription** | Doctor's letter pad header, else Org Patient Record Header |
| **Initial Assessment** | Doctor's letter pad header, else Org Patient Record Header |
| **OP Consultation** | Doctor's letter pad header, else Org Patient Record Header |
| **OPD slip** | Doctor's letter pad header, else Org Patient Record Header |
| Discharge Summary | Org Patient Record Header (doctor header is not applied) |
| Case Sheet, Immunization, Wellness | Org Patient Record Header |
| Diagnostic Reports, Health Documents | Org Report Header, else Org Patient Record Header |
| Invoices, bills, receipts | Org Account Header (Pharmacy/Lab variant when set) — never the doctor header |

The doctor's **Paper Size** applies to Prescription, Initial Assessment, and OP Consultation. Other document types use the organization's paper size for that header type.

## How Headers Appear on Prints

1. Generate the document (prescription, invoice, report, discharge summary).
2. The PDF opens in a new browser tab with the appropriate header image at the top.
3. Press **Ctrl+P** (or Cmd+P on Mac) to print, or save as PDF.

The header auto-selects from the table above. It is resolved from the **author practitioner** of the document — so a prescription written by Dr. A but printed by reception still carries Dr. A's letterhead.

For preprinted stationery, the configured header/footer lines and margins tell the PDF generator where content starts — the uploaded header image is not rendered; the physical paper already has it.

## FAQ

**Q: What image format is required?**
A: Any common raster image — PNG, JPG, GIF, or WebP. SVG is not supported. The uploader caps the file at 200 KB, so use the top strip of your letterhead (logo, name, address), not a full-page design — a wide, short image compresses best.

**Q: Can different doctors have different letterheads?**
A: Yes. Set a **Personal Letter Pad Header** on each doctor's page (see **Personal Letter Pad Header (per doctor)**). It replaces the organization's Patient Record Header on that doctor's prescriptions, initial assessments, OP consultations, and OPD slips. It does **not** change invoices, lab/radiology reports, discharge summaries, or other documents — those always use the organization's headers.

**Q: Can a doctor set their own letterhead, or is it admin-only?**
A: Admin, director, and doctor roles can upload it. A doctor can manage their own personal letterhead.

**Q: Can I set letterheads for many doctors at once?**
A: No. Headers are uploaded one doctor at a time from that doctor's page.

**Q: My doctor's personal letterhead isn't showing on a document. Why?**
A: Check, in order: (1) the document type — the doctor header applies only to prescriptions, initial assessments, OP consultations, and OPD slips, not invoices or reports; (2) the doctor is the author/signing practitioner of that document; (3) the image uploaded successfully (within 200 KB, not SVG); (4) the chosen paper size matches the paper loaded in the printer.

**Q: Can I use preprinted stationery for some documents and plain paper for others?**
A: Yes. The preprinted settings (header/footer lines and margins) are configured separately from image uploads. You can upload images for plain-paper printing while also configuring preprinted margins for physical letterhead.

**Q: What's the difference between OPD Print and Letter Pad Header?**
A: Letter Pad Header is the top-of-page letterhead (clinic name, logo, address). OPD Print is a custom template or diagram that overlays on the OPD slip content — for example, an eye anatomy diagram for an ophthalmologist's OPD slip.

**Q: Do I need to set paper size for every upload?**
A: Yes. Paper size is part of each upload — you choose it alongside the header type and image. This lets different document types use different paper sizes.

**Q: How do I remove or replace an existing header?**
A: Upload a new image for the same header type. It replaces the previous one.