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