www.reliancemc.platinumdiagnostics.pk
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140.99.191.43
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URL:
http://www.reliancemc.platinumdiagnostics.pk/
Submission: On June 23 via api from IN — Scanned from DE
Submission: On June 23 via api from IN — Scanned from DE
Form analysis 1 forms found in the DOM
POST contact.php
<form action="contact.php" method="post">
<input id="txt-field" type="text" name="cf_name" placeholder="Name"><br>
<input id="txt-field" type="text" name="cf_mobile" placeholder="Mobile #"><br>
<textarea id="txt-area" name="cf_message" placeholder="Details"></textarea><br>
<input id="btn" type="submit" value="Send">
<input id="btn" type="reset" value="Clear">
</form>Text Content
CONTACT US