[DepartmentName]
Patient No [PatID] Gender / Age [PatGenAge]
Name [PatName] Phone No [PatPhone]
Address [PatAddr1] Date of Admission [AdmDate]
[PatAddr2] [CaptionDisDate] [DisDate]
Mobile No [Patmob]
NS/Bed No [WardBed]
Doctor [Consultant] [DepartmentName]
[DivDocPanel]
[DisDetails]
[DisApproval]
[OPDNumber]