antrean.rsud-torabelo.online Open in urlscan Pro
103.148.29.164  Public Scan

Form analysis
1 forms found in the DOM

POST https://antrean.rsud-torabelo.online/

<form class="form-horizontal form-material" id="loginform" action="https://antrean.rsud-torabelo.online/" method="post">
  <div class="row m-t-40">
    <div class="col-md-12">
      <div class="error"></div>
    </div>
  </div>
  <div class="form-group">
    <div class="col-xs-12">
      <input class="form-control" type="text" name="id_pengguna" id="userID" required="" placeholder="Username">
    </div>
  </div>
  <div class="form-group">
    <div class="col-xs-12">
      <div class="input-group">
        <input class="form-control" type="password" id="password_pengguna" name="password_pengguna" required="" placeholder="Password">
        <span class="input-group-addon toggle-password"><i class="fa fa-eye"></i></span>
      </div>
    </div>
  </div>
  <div class="form-group">
    <div class="col-xs-12">
      <input class="form-control" type="text" name="captcha" id="captcha" required="" placeholder="Silakan tulis kode di bawah">
    </div>
    <div>
      <img src="https://antrean.rsud-torabelo.online/main/captcha/1262461398" id="captcha_image">
      <button class="btn btn-secondary" id="reload-captcha" type="button"><i class="fa fa-refresh"></i></button>
    </div>
  </div>
  <div class="form-group">
    <div class="col-md-12">
      <!--
								<div class="checkbox checkbox-primary pull-left p-t-0">
									<input id="checkbox-signup" type="checkbox">
									<label for="checkbox-signup"> Remember me </label>
								</div>
								<a href="javascript:void(0)" id="to-recover" class="text-dark pull-right"><i class="fa fa-lock m-r-5"></i> Forgot pwd?</a>
								-->
    </div>
  </div>
  <div class="form-group text-center m-t-20">
    <div class="col-xs-12">
      <input type="hidden" name="timezone" id="timezone" value="Europe/Berlin">
      <input type="hidden" id="csrf_sim_rs" name="csrf_sim_rs" value="415fe26988c3c1e33da094d358907159">
      <div class="w-100" style="display: flex;">
        <button id="preLogin" class="btn btn-info btn-lg btn-block text-uppercase waves-effect waves-light" type="button">Log In</button>
        <button id="to-recover" type="button" class="btn btn-lg btn-primary waves-effect waves-light">
          <i class="fa fa-desktop"></i>
        </button>
      </div>
      <button id="submitLogin" class="hidden" type="submit" name="submit_login" value="true">Log In</button>
    </div>
  </div>
</form>

Text Content

MED.ION

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HOSPITAL MANAGEMENT INFORMATION SYSTEM

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KIOSK
ANTREAN
DASHBOARD
ANTREAN
ADMISI
DASHBOARD
ANTREAN
KLINIK
DASHBOARD
TEMPAT
TIDUR
DASHBOARD
JADWAL
OPERASI

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