peoplehealth.abdevsolutions.co
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184.168.119.100
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URL:
https://peoplehealth.abdevsolutions.co/
Submission: On August 03 via api from US — Scanned from SG
Submission: On August 03 via api from US — Scanned from SG
Form analysis
3 forms found in the DOMPOST func2.php
<form method="post" action="func2.php">
<div class="row register-form">
<div class="col-md-6">
<div class="form-group">
<input type="text" class="form-control" placeholder="First Name *" name="fname" onkeydown="return alphaOnly(event);" required="">
</div>
<div class="form-group">
<input type="email" class="form-control" placeholder="Your Email *" name="email">
</div>
<div class="form-group">
<input type="password" class="form-control" placeholder="Password *" id="password" name="password" onkeyup="check();" required="">
</div>
<div class="form-group">
<div class="maxl">
<label class="radio inline">
<input type="radio" name="gender" value="Male" checked="">
<span> Male </span>
</label>
<label class="radio inline">
<input type="radio" name="gender" value="Female">
<span>Female </span>
</label>
</div>
<a href="index1.php">Already have an account?</a>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<input type="text" class="form-control" placeholder="Last Name *" name="lname" onkeydown="return alphaOnly(event);" required="">
</div>
<div class="form-group">
<input type="tel" minlength="10" maxlength="10" name="contact" class="form-control" placeholder="Your Phone *">
</div>
<div class="form-group">
<input type="password" class="form-control" id="cpassword" placeholder="Confirm Password *" name="cpassword" onkeyup="check();" required=""><span id="message"></span>
</div>
<input type="submit" class="btnRegister" name="patsub1" onclick="return checklen();" value="Register">
</div>
</div>
</form>
POST func1.php
<form method="post" action="func1.php">
<div class="row register-form">
<div class="col-md-6">
<div class="form-group">
<input type="text" class="form-control" placeholder="User Name *" name="username3" onkeydown="return alphaOnly(event);" required="">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<input type="password" class="form-control" placeholder="Password *" name="password3" required="">
</div>
<input type="submit" class="btnRegister" name="docsub1" value="Login">
</div>
</div>
</form>
POST func3.php
<form method="post" action="func3.php">
<div class="row register-form">
<div class="col-md-6">
<div class="form-group">
<input type="text" class="form-control" placeholder="User Name *" name="username1" onkeydown="return alphaOnly(event);" required="">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<input type="password" class="form-control" placeholder="Password *" name="password2" required="">
</div>
<input type="submit" class="btnRegister" name="adsub" value="Login">
</div>
</div>
</form>
Text Content
GLOBAL HOSPITALS * HOME * ABOUT US * CONTACT WELCOME * Patient * Doctor * Receptionist REGISTER AS PATIENT Male Female Already have an account? LOGIN AS DOCTOR LOGIN AS ADMIN