rendeles.premiomed.hu Open in urlscan Pro
65.21.92.126  Public Scan

Submitted URL: http://rendeles.premiomed.hu/
Effective URL: https://rendeles.premiomed.hu/
Submission: On May 28 via api from US — Scanned from FI

Form analysis 1 forms found in the DOM

POST bejelentkezes.php

<form action="bejelentkezes.php" method="post">
  <div class="flex flex-col w-full gap-4">
    <div class="relative">
      <input type="text" name="bejelentkezes_adoszam" required=""
        class="w-full px-2.5 pb-1 pt-5 text-sm text-gray-900 bg-white rounded-lg border border-gray-200 focus:outline-none focus:ring-0 focus:border-indigo-950 peer duration-300 shadow-inner disabled:bg-gray-100" placeholder=" ">
      <label for="bejelentkezes_adoszam"
        class="absolute font-light text-sm text-gray-500 duration-300 transform -translate-y-2 scale-75 top-2 z-10 origin-[0] px-2 peer-focus:px-2 peer-focus:text-indigo-950 peer-placeholder-shown:scale-100 peer-placeholder-shown:-translate-y-1/2 peer-placeholder-shown:top-1/2 peer-focus:top-2 peer-focus:scale-75 peer-focus:-translate-y-2 rtl:peer-focus:translate-x-1/4 rtl:peer-focus:left-auto start-1 pointer-events-none">Adószám
        <sup>(Formátum: 11111111-1-11)</sup></label>
    </div>
    <div class="relative">
      <input type="password" name="bejelentkezes_jelszo" required=""
        class="w-full px-2.5 pb-1 pt-5 text-sm text-gray-900 bg-white rounded-lg border border-gray-200 focus:outline-none focus:ring-0 focus:border-indigo-950 peer duration-300 shadow-inner disabled:bg-gray-100" placeholder=" ">
      <label for="bejelentkezes_jelszo"
        class="absolute font-light text-sm text-gray-500 duration-300 transform -translate-y-2 scale-75 top-2 z-10 origin-[0] px-2 peer-focus:px-2 peer-focus:text-indigo-950 peer-placeholder-shown:scale-100 peer-placeholder-shown:-translate-y-1/2 peer-placeholder-shown:top-1/2 peer-focus:top-2 peer-focus:scale-75 peer-focus:-translate-y-2 rtl:peer-focus:translate-x-1/4 rtl:peer-focus:left-auto start-1 pointer-events-none">Jelszó</label>
    </div>
    <label class="text-sm">
      <input type="checkbox" name="bejelentkezes_emlekezzram"> Emlékezz rám </label>
    <input type="submit" value="Belépés" class="w-full text-sm font-semibold px-6 py-3 mt-2 rounded-lg shadow-lg bg-indigo-800 border border-indigo-800 text-white text-center duration-300 hover:bg-indigo-600 hover:border-indigo-600 cursor-pointer">
  </div>
</form>

Text Content

BEJELENTKEZÉS

Adószám (Formátum: 11111111-1-11)
Jelszó
Emlékezz rám