More rules affecting smokers could soon be on the way.

The Medical Officer of Health for Toronto is asking his board to call on the Ministry of Health to enact tougher smoking rules across the province.

Under the proposal, smoking would be banned from outdoor restaurant and bar patios.

Wortley Roadhouse owner Gail Verweel says customer choice is going up in smoke.

"If they want to go to a patio that doesn't allow smoking, there's a lot of them out there. And there's patios like us, that cater to people who want to have a smoke and a drink," says Verweel.

There's also a call for a province-wide ban on smoking in public squares and on hospital grounds.

Currently, London hospitals allow smoking at specially built outdoor gazebos.

St. Joseph's Health Care spokeswoman Karen Stone says they're not waiting for new legislation, as outdoor smoking at St. Joe's sites is in the middle of being phased out altogether.

"We provide services to make people well or promote wellness...and smoking doesn't do that and we wanted to make a stand," says Stone.

London's existing smoking bylaw took effect May 1st, 2013.

It bans smoking at playgrounds and sports fields and within nine metres of public buildings.

The set fine is $205, up to a maximum of $10,000.

After five months in place, no tickets have been issued so far.

The Middlesex-London Health Unit supports the proposal for stricter rules on outdoor smoking.