simulasi.ihospital.rsipati.com Open in urlscan Pro
202.51.208.66  Public Scan

Form analysis
1 forms found in the DOM

POST /index.php?r=site/login

<form onkeypress="return disableKeyPress(event)" id="form_login" action="/index.php?r=site/login" method="post" novalidate="novalidate">
  <div class="form-group">
    <!-- <div class="stylabel">Username</div> -->
    <input class="log-input form-control required" placeholder="Username" autocomplete="off" onblur="cekUsername(this)" onkeyup="disabledLogin();" onfocus="disabledLogin();" onchange="disabledLogin();" name="LoginForm[username]"
      id="LoginForm_username" type="text" aria-required="true">
  </div>
  <div class="form-group" id="show_hide_password">
    <!-- <div class="stylabel">Password</div> -->
    <div class="cont-pass" style="display:flex;">
      <div class="pass" style="width:100%;">
        <input class=" form-control required" placeholder="Password" autocomplete="off" onblur="cekUsername(this)" onkeyup="disabledLogin();" onfocus="disabledLogin();" onchange="disabledLogin();" name="LoginForm[password]" id="LoginForm_password"
          type="password" aria-required="true">
      </div>
      <div class="eye">
        <div class="keymouse">
          <i class="fa fa-eye-slash fa-lg" aria-hidden="true"></i>
        </div>
      </div>
    </div>
  </div>
  <div class="form-group">
    <!-- <div class="stylabel">Instalasi</div> -->
    <select class="log-input form-control styled-select.slate" onkeyup="return $(this).focusNextInputField(event);" name="LoginForm[instalasi]" id="LoginForm_instalasi">
      <option value="">-- Pilih Unit --</option>
    </select>
  </div>
  <div class="form-group">
    <!-- <div class="stylabel">Ruangan</div> -->
    <select class="log-input form-control styled-select.slate" onkeyup="return $(this).focusNextInputField(event);" onchange="pilihModul(this)" name="LoginForm[ruangan]" id="LoginForm_ruangan">
      <option value="">-- Pilih Ruangan --</option>
    </select>
  </div>
  <div class="form-group">
    <!-- <div class="stylabel">Modul</div> -->
    <select class="form-control log-input input-block styled-select.slate" onkeyup="return $(this).focusNextInputField(event);" onchange="disabledLogin();" onblur="disabledLogin();" name="LoginForm[modul]" id="LoginForm_modul">
      <option value="">-- Pilih Modul --</option>
    </select>
  </div>
  <!--<div class="form-group">
        <input id="ytLoginForm_rememberMe" type="hidden" value="0" name="LoginForm[rememberMe]" /><input onkeyup="return $(this).focusNextInputField(event);" name="LoginForm[rememberMe]" id="LoginForm_rememberMe" value="1" type="checkbox" />        <label for="LoginForm_rememberMe">Remember me next time</label>                </div>-->
  <div class="form-group" style="float: center;">
    <!--            <div class="col-sm-12">-->
    <center>
      <button class="btn btn-success btn-block btn-login btn-center" type="submit" id="login-button" style="width: 40%; border-radius: 20px; fo" disabled="disabled">Masuk</button>
    </center>
    <!--            </div>-->
    <!--<div class="col-sm-12"><i class="entypo-help"></i> -->
    <!--            </div>-->
  </div>
</form>

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-- Pilih Unit --
-- Pilih Ruangan --
-- Pilih Modul --
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