hmsv3lilyhospitals.com Open in urlscan Pro
129.205.118.116  Public Scan

Form analysis
1 forms found in the DOM

POST https://hmsv3lilyhospitals.com/index.php/login/auth

<form method="post" action="https://hmsv3lilyhospitals.com/index.php/login/auth">
  <div class="text-[#3D3D3D]">
    <span class="text-base"> Username </span>
    <input class="text-gray-700 font-mono w-full h-10 px-1 mt-[2px] text-[14px] placeholder-gray-400 border rounded-md focus:outline-none focus:ring-1 focus:ring-[#007BFF] focus:shadow-md transition-all duration-300 ease-in-out" type="text"
      placeholder="Enter Username" id="txtusername" name="txtusername">
  </div>
  <div class="relative w-full">
    <span class="font-medium block mt-2 text-gray-700" for="password"> Password </span>
    <div class="relative w-full">
      <input class="appearance-none border rounded w-full h-10 px-1 border focus:outline-none focus:ring-1 focus:ring-[#007BFF] focus:shadow-md transition-all duration-300 ease-in-out text-gray-700 pr-16 font-mono js-password" type="password"
        placeholder="***************" id="txtpassword" name="txtpassword" autocomplete="off">
      <div class="absolute right-3 top-[50%] -translate-y-1/2 flex items-center justify-center">
        <button type="button" class="bg-gray-300 hover:bg-gray-400 rounded px-2 py-[3px] text-sm text-gray-600 font-mono cursor-pointer js-password-label uppercase" id="js-password-toggle" for="toggle">show</button>
      </div>
    </div>
  </div>
  <div class="text-[#3D3D3D] mt-1">
    <span class="text-base"> Counter Number </span>
    <input class="text-gray-700 font-mono w-full h-10 px-1 mt-[4px] text-[14px] placeholder-gray-400 border rounded-md focus:outline-none focus:ring-1 focus:ring-[#007BFF] focus:shadow-md transition-all duration-300 ease-in-out" type="text"
      placeholder="Counter Number" id="txtcounter" name="txtcounter">
  </div>
  <div class="mt-2 flex items-center justify-between">
    <div class="flex items-center gap-2">
      <input type="checkbox"
        class="before:content[''] peer relative h-4 w-4 cursor-pointer appearance-none rounded-md border border-blue-gray-200 transition-all before:absolute before:top-2/4 before:left-2/4 before:block before:h-12 before:w-12 before:-translate-y-2/4 before:-translate-x-2/4 before:rounded-full before:bg-blue-gray-500 before:opacity-0 before:transition-opacity checked:border-gray-900 checked:bg-gray-900 checked:before:bg-gray-900 hover:before:opacity-10"
        id="check">
      <span class="absolute text-white transition-opacity opacity-0 pointer-events-none top-2/4 left-2/4 -translate-y-2/4 -translate-x-2/4 peer-checked:opacity-100">
      </span>
      <span class="text-sm"> Remember me </span>
    </div>
    <div>
      <a href="http://192.168.0.21/login/forgot_password" class="font-medium text-[#007BFF] text-sm">Forgot Password?</a>
    </div>
  </div>
  <div class="mt-2">
    <button type="submit" id="btnlogin" name="btnlogin" class="w-full h-12 px-6 text-white transition-colors duration-150 bg-[#007BFF] rounded-md focus:shadow-outline hover:bg-[#0073EE]">Login</button>
    <button type="button" id="btndisabled" name="btndisabled" class="w-full h-12 px-6 !text-white/50 transition-colors duration-150 bg-[#007BFF] rounded-md focus:shadow-outline hover:bg-[#0073EE]" style="display: none;">Please
      wait...<i id="icon-arrow" class="bx bx-right-arrow-alt"></i></button>
  </div>
  <h1 class="mt-6 block text-center text-sm font-normal">Don’t have an account? <a href="#" class="text-[#007BFF]">Contact ICT Admin</a> </h1>
  <div class="items-center justify-center">
    <h1 class="mt-12 block text-center text-sm font-normal">Developed and managed by </h1>
    <img src="https://hmsv3lilyhospitals.com/assets/img/bravo_logo.png" alt="" class="items-center justify-center mx-auto mt-1 cursor-pointer">
  </div>
</form>

Text Content

Take care of yourself, be healthy, and always believe you can be successful in
anything you truly want.




HEALTHWYSE®




HEALTHWYSE®


WELCOME BACK

Logout Current User
Username
Password
show
Counter Number
Remember me
Forgot Password?
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DON’T HAVE AN ACCOUNT? CONTACT ICT ADMIN


DEVELOPED AND MANAGED BY