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eklaim.rsmuhammadiyahtuban.co.id Open in urlscan Pro
103.28.149.252  Public Scan

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URL: https://eklaim.rsmuhammadiyahtuban.co.id/
Submission: On July 24 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: login_form — GET javascript:void null

<form accept-charset="utf-8" name="login_form" autocomplete="off" id="login_form" action="javascript:void null" method="get" onsubmit="xocplogin(this,event);">
  <div id="myloginbox" style="padding-left:50px;padding-right:50px;padding-bottom:10px;text-align:center;color:#ffffff;font-size:3em;margin-top:10px;"> RSAB MUHAMMADIYAH </div>
  <div id="myloginbox2" style="padding-left:50px;padding-right:50px;padding-bottom:10px;text-align:center;color:#ffffff;font-size:2em;"> Login E-Klaim </div>
  <div class="loginbox " style="">
    <img style="opacity:1;position:absolute;margin-top:-129px;left:15%;margin-left:-310px;height:350px;" src="/E-Klaim/images/logo_g33251.png">
    <table align="center" style="width:80%;height:100%;">
      <tbody>
        <tr>
          <td>
            <div>Username :</div>
            <div style="margin-top:5px;"><input style="width:90%;" type="text" id="login" value=""></div>
            <div style="margin-top:10px;">Password:</div>
            <div style="margin-top:5px;"><input style="width:90%;" type="password" id="rndx" onkeydown="kpp(this,event);"></div>
            <div style="margin-top:10px;">
              <input type="button" style="width:100px;" onclick="xocplogin(this,event);" value="Login">
            </div>
          </td>
        </tr>
      </tbody>
    </table>
    <div style="position:absolute;margin-top:90px;left:50%;width:500px;text-align:center;margin-left:-381px;">
      <div style="font-size:1.1em;">KEMENTERIAN KESEHATAN REPUBLIK INDONESIA</div>
      <div style="font-size:0.8em;color:#ffffdd;">E-KLAIM INACBG © 2016-2024 / Build: 5.8.8.202406270756</div>
      <!-- div style='vertical-align:bottom;'>
            <div style='margin-top:1em;'>Theme :</div>
            <div class='dvchoose_theme maroon' data-tooltip='Maroon' onclick='change_theme("maroon");'>&nbsp;</div>
            <div class='dvchoose_theme classic' data-tooltip='Classic' onclick='change_theme("classic");'>&nbsp;</div>
            <div class='dvchoose_theme dark_green' data-tooltip='Dark Green' onclick='change_theme("dark_green");'>&nbsp;</div>
            <div class='dvchoose_theme tosca' data-tooltip='Tosca' onclick='change_theme("tosca");'>&nbsp;</div>
            <div class='dvchoose_theme blue' data-tooltip='Blue' onclick='change_theme("blue");'>&nbsp;</div>
            <div class='dvchoose_theme black' data-tooltip='Black' onclick='change_theme("black");'>&nbsp;</div>
         </div -->
    </div>
  </div>
</form>

Text Content

 
RSAB MUHAMMADIYAH
Login E-Klaim
Username :

Password:



KEMENTERIAN KESEHATAN REPUBLIK INDONESIA
E-KLAIM INACBG © 2016-2024 / Build: 5.8.8.202406270756