admin"and(select*from(select+sleep(0))a/**/union/**/select+1)="
123456
123456
123456
Doctor's Signature
..................................
123456
123456
Patient's Signature
..................................
admin"and(select*from(select+sleep(0))a/**/union/**/select+1)="
admin"and(select*from(select+sleep(0))a/**/union/**/select+1)="