hcapp-ui.marasigan.net
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URL:
https://hcapp-ui.marasigan.net/
Submission: On May 26 via api from US — Scanned from DE
Submission: On May 26 via api from US — Scanned from DE
Form analysis
1 forms found in the DOM<form _ngcontent-ng-c4048137584="" novalidate="" class="validate-form ng-untouched ng-pristine ng-valid">
<div _ngcontent-ng-c4048137584="" class="row">
<div _ngcontent-ng-c4048137584="" class="col-xl-12 col-lg-12 col-md-12 col-sm-12 mb-2"><mat-form-field _ngcontent-ng-c4048137584="" appearance="outline"
class="mat-mdc-form-field example-full-width ng-tns-c3736059725-0 mat-mdc-form-field-type-mat-input mat-mdc-form-field-has-icon-suffix mat-form-field-appearance-outline mat-primary ng-untouched ng-pristine ng-valid ng-star-inserted"><!---->
<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-0 mdc-text-field--outlined"><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-0">
<div matformfieldnotchedoutline="" class="mdc-notched-outline ng-tns-c3736059725-0 mdc-notched-outline--notched mdc-notched-outline--upgraded ng-star-inserted">
<div class="mdc-notched-outline__leading"></div>
<div class="mdc-notched-outline__notch" style="width: calc(85px * var(--mat-mdc-form-field-floating-label-scale, 0.75) + 9px);"><label matformfieldfloatinglabel=""
class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-0 mdc-floating-label--float-above ng-star-inserted" id="mat-mdc-form-field-label-0" for="mat-input-0" style=""><mat-label _ngcontent-ng-c4048137584=""
class="ng-tns-c3736059725-0">Username</mat-label><span aria-hidden="true" class="mat-mdc-form-field-required-marker mdc-floating-label--required ng-tns-c3736059725-0 ng-star-inserted"></span><!----></label><!----><!----><!---->
</div>
<div class="mdc-notched-outline__trailing"></div>
</div><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-0"><!----><input _ngcontent-ng-c4048137584="" matinput="" formcontrolname="username"
class="mat-mdc-input-element ng-tns-c3736059725-0 ng-untouched ng-pristine ng-valid mat-mdc-form-field-input-control mdc-text-field__input cdk-text-field-autofill-monitored" id="mat-input-0" required="" aria-invalid="false"
aria-required="true"></div><!---->
<div class="mat-mdc-form-field-icon-suffix ng-tns-c3736059725-0 ng-star-inserted"><mat-icon _ngcontent-ng-c4048137584="" role="img" matsuffix=""
class="mat-icon notranslate material-icons-outlined p-3 material-icons mat-ligature-font mat-icon-no-color ng-tns-c3736059725-0" aria-hidden="true" data-mat-icon-type="font">face</mat-icon></div><!---->
</div><!---->
</div>
<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-0">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-0 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-0"></div>
</div><!----><!---->
</div>
</mat-form-field></div>
</div>
<div _ngcontent-ng-c4048137584="" class="row">
<div _ngcontent-ng-c4048137584="" class="col-xl-12col-lg-12 col-md-12 col-sm-12 mb-2"><mat-form-field _ngcontent-ng-c4048137584="" appearance="outline"
class="mat-mdc-form-field example-full-width ng-tns-c3736059725-1 mat-mdc-form-field-type-mat-input mat-mdc-form-field-has-icon-suffix mat-form-field-appearance-outline mat-primary ng-untouched ng-pristine ng-valid ng-star-inserted"><!---->
<div class="mat-mdc-text-field-wrapper mdc-text-field ng-tns-c3736059725-1 mdc-text-field--outlined"><!---->
<div class="mat-mdc-form-field-flex ng-tns-c3736059725-1">
<div matformfieldnotchedoutline="" class="mdc-notched-outline ng-tns-c3736059725-1 mdc-notched-outline--notched mdc-notched-outline--upgraded ng-star-inserted">
<div class="mdc-notched-outline__leading"></div>
<div class="mdc-notched-outline__notch" style="width: calc(83px * var(--mat-mdc-form-field-floating-label-scale, 0.75) + 9px);"><label matformfieldfloatinglabel=""
class="mdc-floating-label mat-mdc-floating-label ng-tns-c3736059725-1 mdc-floating-label--float-above ng-star-inserted" id="mat-mdc-form-field-label-2" for="mat-input-1" style=""><mat-label _ngcontent-ng-c4048137584=""
class="ng-tns-c3736059725-1">Password</mat-label><span aria-hidden="true" class="mat-mdc-form-field-required-marker mdc-floating-label--required ng-tns-c3736059725-1 ng-star-inserted"></span><!----></label><!----><!----><!---->
</div>
<div class="mdc-notched-outline__trailing"></div>
</div><!----><!----><!---->
<div class="mat-mdc-form-field-infix ng-tns-c3736059725-1"><!----><input _ngcontent-ng-c4048137584="" matinput="" formcontrolname="password"
class="mat-mdc-input-element ng-tns-c3736059725-1 ng-untouched ng-pristine ng-valid mat-mdc-form-field-input-control mdc-text-field__input cdk-text-field-autofill-monitored" type="password" id="mat-input-1" required=""
aria-invalid="false" aria-required="true"></div><!---->
<div class="mat-mdc-form-field-icon-suffix ng-tns-c3736059725-1 ng-star-inserted"><mat-icon _ngcontent-ng-c4048137584="" role="img" matsuffix=""
class="mat-icon notranslate material-icons-outlined pwd-toggle p-3 material-icons mat-ligature-font mat-icon-no-color ng-tns-c3736059725-1" aria-hidden="true" data-mat-icon-type="font"> visibility_off</mat-icon></div><!---->
</div><!---->
</div>
<div class="mat-mdc-form-field-subscript-wrapper mat-mdc-form-field-bottom-align ng-tns-c3736059725-1">
<div class="mat-mdc-form-field-hint-wrapper ng-tns-c3736059725-1 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
<div class="mat-mdc-form-field-hint-spacer ng-tns-c3736059725-1"></div>
</div><!----><!---->
</div>
</mat-form-field></div>
</div>
<div _ngcontent-ng-c4048137584="" class="d-flex justify-content-between align-items-center mb-5">
<div _ngcontent-ng-c4048137584="" class="form-check"><label _ngcontent-ng-c4048137584="" class="form-check-label"><input _ngcontent-ng-c4048137584="" type="checkbox" value="" class="form-check-input"> Remember me <span
_ngcontent-ng-c4048137584="" class="form-check-sign"><span _ngcontent-ng-c4048137584="" class="check"></span></span></label></div>
<a _ngcontent-ng-c4048137584="" routerlink="/authentication/forgot-password" class="txt1" href="#/authentication/forgot-password">Forgot Password?</a>
</div><!---->
<div _ngcontent-ng-c4048137584="" class="container-auth-form-btn">
<div _ngcontent-ng-c4048137584="" style="text-align: center;"><button _ngcontent-ng-c4048137584="" mat-raised-button="" color="primary" type="submit"
class="auth-form-btn mdc-button mdc-button--raised mat-mdc-raised-button mat-primary mat-mdc-button-base" mat-ripple-loader-uninitialized="" mat-ripple-loader-class-name="mat-mdc-button-ripple"><span
class="mat-mdc-button-persistent-ripple mdc-button__ripple"></span><span class="mdc-button__label">Login</span><span class="mat-mdc-focus-indicator"></span><span class="mat-mdc-button-touch-target"></span></button></div>
</div>
</form>
Text Content
WELCOME TO CLINIVA Need an account?Sign Up Admin Doctor Patient SIGN IN Username face Password visibility_off Remember me Forgot Password? Login OR * * * *