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dinkes.sipsipmas.jayawijayakab.go.id Open in urlscan Pro
216.194.160.153  Public Scan

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URL: https://dinkes.sipsipmas.jayawijayakab.go.id/
Submission: On July 28 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST 

<form class="form-body" method="post">
  <input type="hidden" name="csrf_token_name" value="9788dacda47ad02e6b664de6ad5fd860">
  <div class="row g-3">
    <div class="col-12">
      <label for="inputEmailAddress" class="form-label">Username</label>
      <div class="ms-auto position-relative">
        <div class="position-absolute top-50 translate-middle-y search-icon px-3">
          <i class="bi bi-person-fill"></i>
        </div>
        <input type="text" name="username" class="form-control radius-30 ps-5" id="username" placeholder="Username anda">
      </div>
    </div>
    <div class="col-12">
      <label for="inputChoosePassword" class="form-label">Password</label>
      <div class="ms-auto position-relative">
        <div class="position-absolute top-50 translate-middle-y search-icon px-3">
          <i class="bi bi-lock-fill"></i>
        </div>
        <input type="password" class="form-control radius-30 ps-5" id="password" name="password" placeholder="Password anda">
      </div>
    </div>
    <div class="col-6">
    </div>
    <div class="col-12">
      <div class="d-grid">
        <button type="submit" class="btn btn-primary radius-30 login">Login</button>
      </div>
    </div>
  </div>
</form>

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