ctflife-admin-uat.mediconcen.com Open in urlscan Pro
2600:9000:2251:5200:c:c14e:ac80:93a1  Public Scan

Form analysis
1 forms found in the DOM

#

<form action="#">
  <div class="MuiStack-root css-xu83vj">
    <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-13tjsxv"><label
        class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-outlined MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-outlined css-8unr5j"
        data-shrink="true" for=":r0:" id=":r0:-label">Email address</label>
      <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl css-17p6vt8"><input aria-invalid="false" id=":r0:" name="email" type="text"
          class="MuiInputBase-input MuiOutlinedInput-input css-yzm7vx" value="">
        <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-igs3ac">
          <legend class="css-14lo706"><span>Email address</span></legend>
        </fieldset>
      </div>
    </div>
    <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-13tjsxv"><label
        class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-outlined MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-outlined css-8unr5j"
        data-shrink="true" for=":r1:" id=":r1:-label">Password</label>
      <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-adornedEnd css-1dozhfq"><input aria-invalid="false" id=":r1:" name="password" type="password"
          class="MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputAdornedEnd css-1nuss9t" value="">
        <div class="MuiInputAdornment-root MuiInputAdornment-positionEnd MuiInputAdornment-outlined MuiInputAdornment-sizeMedium css-5zxort"><button
            class="MuiButtonBase-root MuiIconButton-root MuiIconButton-edgeEnd MuiIconButton-sizeMedium css-12xczkh" tabindex="0" type="button"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" aria-hidden="true"
              role="img" class="MuiBox-root css-1t9pz9x iconify iconify--eva" width="1em" height="1em" viewBox="0 0 24 24">
              <circle cx="12" cy="12" r="1.5" fill="currentColor"></circle>
              <path fill="currentColor"
                d="M15.29 18.12L14 16.78l-.07-.07l-1.27-1.27a4.07 4.07 0 0 1-.61.06A3.5 3.5 0 0 1 8.5 12a4.07 4.07 0 0 1 .06-.61l-2-2L5 7.87a15.89 15.89 0 0 0-2.87 3.63a1 1 0 0 0 0 1c.63 1.09 4 6.5 9.89 6.5h.25a9.48 9.48 0 0 0 3.23-.67ZM8.59 5.76l2.8 2.8A4.07 4.07 0 0 1 12 8.5a3.5 3.5 0 0 1 3.5 3.5a4.07 4.07 0 0 1-.06.61l2.68 2.68l.84.84a15.89 15.89 0 0 0 2.91-3.63a1 1 0 0 0 0-1c-.64-1.11-4.16-6.68-10.14-6.5a9.48 9.48 0 0 0-3.23.67Zm12.12 13.53L19.41 18l-2-2l-9.52-9.53L6.42 5L4.71 3.29a1 1 0 0 0-1.42 1.42L5.53 7l1.75 1.7l7.31 7.3l.07.07L16 17.41l.59.59l2.7 2.71a1 1 0 0 0 1.42 0a1 1 0 0 0 0-1.42">
              </path>
            </svg><span class="MuiTouchRipple-root css-w0pj6f"></span></button></div>
        <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-igs3ac">
          <legend class="css-14lo706"><span>Password</span></legend>
        </fieldset>
      </div>
    </div>
  </div><button
    class="MuiButtonBase-root MuiButton-root MuiLoadingButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeLarge MuiButton-containedSizeLarge MuiButton-colorPrimary MuiButton-disableElevation MuiButton-fullWidth MuiButton-root MuiLoadingButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeLarge MuiButton-containedSizeLarge MuiButton-colorPrimary MuiButton-disableElevation MuiButton-fullWidth css-1rhu5bz"
    tabindex="0" type="submit" id=":r2:">Login<span class="MuiTouchRipple-root css-w0pj6f"></span></button>
</form>

Text Content

LOGIN



Email address
Email address
Password

Password
Login

/dashboard/claim-management/inpatient/