hastane.dogunet.com.tr
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172.67.143.131
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URL:
https://hastane.dogunet.com.tr/
Submission: On June 25 via api from US — Scanned from DE
Submission: On June 25 via api from US — Scanned from DE
Form analysis 2 forms found in the DOM
POST https://hastane.dogunet.com.tr/website/appointment/new_patient
<form action="https://hastane.dogunet.com.tr/website/appointment/new_patient" id="appointmentForm" enctype="multipart/form-data" method="post" accept-charset="utf-8">
<div class="form-row">
<div class="form-group col-md-6">
<label>First Name*</label>
<input type="text" class="form-control" name="firstname" id="firstname" placeholder="First Name" required="">
</div>
<div class="form-group col-md-6">
<label>Last Name*</label>
<input type="text" class="form-control" name="lastname" id="lastname" placeholder="Last Name" required="">
</div>
</div>
<div class="form-row">
<div class="form-group col-md-6">
<label>Email Address*</label>
<input type="email" class="form-control" name="email" id="email" placeholder="Email Address" required="">
<label>Please provide a valid email.</label>
</div>
<div class="form-group col-md-6">
<label>Phone No</label>
<input type="text" class="form-control" name="mobile" id="phone1" placeholder="Phone No" required="">
</div>
</div>
<div class="form-group">
<label> Department Name *</label>
<select name="department_id" class="form-control basic-single select2-hidden-accessible" id="departmentId" data-select2-id="departmentId" tabindex="-1" aria-hidden="true">
<option value="" selected="selected" data-select2-id="2">Select Department</option>
<option value="16">Oncology</option>
<option value="18">Pharmacy</option>
<option value="19">Radiotherapy</option>
<option value="21">Rheumatology</option>
<option value="22">Gynaecology</option>
<option value="23">Obstetrics</option>
<option value="25">General Surgery</option>
<option value="26">Pregnancy</option>
<option value="27">Surgery</option>
<option value="28">Psychology</option>
<option value="29">Therapy</option>
<option value="30">Nursing</option>
<option value="31">Cardiology</option>
<option value="32">X-rey</option>
</select><span class="select2 select2-container select2-container--bootstrap" dir="ltr" data-select2-id="1" style="width: 445px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-departmentId-container"><span class="select2-selection__rendered" id="select2-departmentId-container" role="textbox" aria-readonly="true"
title="Select Department">Select Department</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<span class="doctorError"></span>
</div>
<h2 class="semibold"><span>2</span> Help us with accurate information about the following details</h2>
<div class="form-row">
<div class="form-group col-md-6">
<label> Doctor Name*</label>
<select name="doctor_id" class="form-control basic-single select2-hidden-accessible" id="doctorId" data-select2-id="doctorId" tabindex="-1" aria-hidden="true">
<option value="0" data-select2-id="4"></option>
</select><span class="select2 select2-container select2-container--bootstrap" dir="ltr" data-select2-id="3" style="width: 217.5px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-doctorId-container"><span class="select2-selection__rendered" id="select2-doctorId-container" role="textbox" aria-readonly="true" title=""></span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<p class="help-block" id="availableDays"></p>
</div>
<div class="form-group col-md-6">
<label>Appointment Date *</label>
<input type="text" class="form-control datepicker" name="date" id="date1" placeholder="Appointment Date" autocomplete="off">
</div>
</div>
<div class="form-group">
<label>Serial No <i class="text-danger">*</i></label>
<div id="serialPreview">
<div class="btn btn-success disabled btn-sm"> 01</div>
<div class="btn btn-success disabled btn-sm"> 02</div>
<div class="btn btn-success disabled btn-sm"> 03</div>... <div class="slbtn btn btn-success disabled btn-sm"> N</div>
</div>
<input type="hidden" name="schedule_id" id="scheduleId">
<input type="hidden" name="serial_no" id="serialNo">
</div>
<div class="form-group">
<label>Problem</label>
<textarea class="form-control" name="problem" id="problem1" rows="3"></textarea>
</div>
<div class="form-group">
<div class="custom-control custom-checkbox">
<input type="checkbox" class="custom-control-input" id="customCheck1" required="">
<label class="custom-control-label" for="customCheck1">I consent to having this website store my submitted information so they can respond to my inquiry.</label>
</div>
</div>
<button type="submit" class="btn btn-block btn-primary">Book Appointment</button>
</form>POST https://hastane.dogunet.com.tr/website/appointment/create
<form action="https://hastane.dogunet.com.tr/website/appointment/create" id="appointmentForm" method="post" accept-charset="utf-8">
<div class="form-group">
<label>Patient ID *</label>
<input type="text" class="form-control patient" name="patient_id" id="patient_id" placeholder="Patient ID" value="" required="">
<span></span>
<!-- <label>Please provide a valid ID.</label> -->
</div>
<div class="form-group">
<div class="custom-control custom-checkbox">
<input type="checkbox" class="custom-control-input" id="customCheck2">
<label class="custom-control-label" for="customCheck2">If Forgot Patient ID Please Selected The CheckBox</label>
</div>
</div>
<div class="form-group">
<div id="txtSearch" style="display: none;">
<input type="text" class="form-control" name="textSearch" id="textSearch" placeholder="Full Name/Mobile No">
</div>
<div id="valid_patient"></div>
</div>
<div class="form-group">
<label> Department Name *</label>
<select name="department_id" class="form-control basic-single select2-hidden-accessible" id="department_id" data-select2-id="department_id" tabindex="-1" aria-hidden="true">
<option value="" selected="selected" data-select2-id="6">Select Department</option>
<option value="16">Oncology</option>
<option value="18">Pharmacy</option>
<option value="19">Radiotherapy</option>
<option value="21">Rheumatology</option>
<option value="22">Gynaecology</option>
<option value="23">Obstetrics</option>
<option value="25">General Surgery</option>
<option value="26">Pregnancy</option>
<option value="27">Surgery</option>
<option value="28">Psychology</option>
<option value="29">Therapy</option>
<option value="30">Nursing</option>
<option value="31">Cardiology</option>
<option value="32">X-rey</option>
</select><span class="select2 select2-container select2-container--bootstrap" dir="ltr" data-select2-id="5" style="width: auto;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-department_id-container"><span class="select2-selection__rendered" id="select2-department_id-container" role="textbox" aria-readonly="true"
title="Select Department">Select Department</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<span class="doctor_error"></span>
</div>
<div class="form-group">
<label> Doctor Name*</label>
<select name="doctor_id" class="form-control basic-single select2-hidden-accessible" id="doctor_id" data-select2-id="doctor_id" tabindex="-1" aria-hidden="true">
<option value="0" data-select2-id="8"></option>
</select><span class="select2 select2-container select2-container--bootstrap" dir="ltr" data-select2-id="7" style="width: auto;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-doctor_id-container"><span class="select2-selection__rendered" id="select2-doctor_id-container" role="textbox" aria-readonly="true" title=""></span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<p class="help-block" id="available_days"></p>
</div>
<div class="form-group">
<label>Appointment Date *</label>
<input type="text" class="form-control datepicker" name="date" id="date" placeholder="Appointment Date" autocomplete="off">
</div>
<div class="form-group">
<label>Serial No <i class="text-danger">*</i></label>
<div id="serial_preview">
<div class="btn btn-success disabled btn-sm"> 01</div>
<div class="btn btn-success disabled btn-sm"> 02</div>
<div class="btn btn-success disabled btn-sm"> 03</div>... <div class="slbtn btn btn-success disabled btn-sm"> N</div>
</div>
<input type="hidden" name="schedule_id" id="schedule_id">
<input type="hidden" name="serial_no" id="serial_no">
</div>
<div class="form-group">
<label>Problem</label>
<textarea class="form-control" name="problem" id="problem2" rows="3"></textarea>
</div>
<button type="submit" class="btn btn-block btn-primary">Book Appointment</button>
</form>Text Content
demo@hospital.com (012)-345-6788 * Arabic Bangla English French * * * * * MON - FRI: 08:00AM - 20:00PM Saturday and Sunday - Closed (022)-143-545-45 Contact Us For Help 123/A, STREET, State-12345, Demo * Home * Services * About Us * Doctors * Departments * Contact Us * Patient Login * Others * Supports * Appointment * Home * Services * About Us * Doctors * Departments * Contact Us * Patient Login * Others * Supports GENERAL REQUIREMENTS– AN OVERVIEW Generally, the system should be safe and secure from a data management point-of-view. Download Now A HOSPITAL INFORMATION SYSTEM (HIS) BASICALLY IS A SYNONYM FOR INFORMATION MANAGEMENT A Hospital Information System (HIS) basically is a synonym for information management Start Now INTRODUCING A NEW INFORMATION SYSTEM where one is already in place and is actively used View all GENERAL REQUIREMENTS– AN OVERVIEW Generally, the system should be safe and secure from a data management point-of-view. Download Now A HOSPITAL INFORMATION SYSTEM (HIS) BASICALLY IS A SYNONYM FOR INFORMATION MANAGEMENT A Hospital Information System (HIS) basically is a synonym for information management Start Now INTRODUCING A NEW INFORMATION SYSTEM where one is already in place and is actively used View all GENERAL REQUIREMENTS– AN OVERVIEW Generally, the system should be safe and secure from a data management point-of-view. Download Now DOCTORS TIMETABLE The following is for guidance only to help you plan your appointment with a preferred doctor or nurse. View Timetable OUR BENEFITS * Qualified Staff of Doctors * Save Your Money and Time with us * 24x7 Emergency service * Feel Like you are at Home Services OUR WORKING HOURS It is a long established fact that a reader will. Monday-Wednesday 08.00-18.00 Thursday -Friday 08.00-18.00 Saturday 08.00-18.00 Sunday Closed ABOUT SUMMARY OF HOSPITAL * The simplest method of installation is through the Sublime Text conso * The simplest method of installation is through the Sublime Text conso * The simplest method of installation is through the Sublime Text cons * The simplest method of installation is through the Sublime Text cons -------------------------------------------------------------------------------- > “Once open, paste the appropriate Python code for your version of Sublime Text > into the console.” > > — Michael Smith DEPARTMENT LIST It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. CARDIOLOGY A cardiologist is a doctor wit... GYNAECOLOGY The gynaecology service at UCL... NURSING Nurses are one of the most tru... PHARMACY Hospital pharmacy is a special... PREGNANCY Congratulations, and welcome t... PSYCHOLOGY Psychology is the scientific s... RADIOTHERAPY It is a long established fact ... SURGERY There are many reasons to have... THERAPY Psychotherapy is the practice ... X-REY Extend point of care with new ... LOREM IPSUM IS SIMPLY DUMMY TEXT OF THE PRINTING AND TYPESETTING INDUSTRY. LOREM IPSUM HAS BEEN THE INDUSTRY'S STANDARD DUMMY TEXT EVER SINCE THE 1500S William John www.bdtask.com BOOK WITH YOUR DOCTOR SOME UP AND COMING TRENDS ARE HEALTHCARE CONSOLIDATION FOR INDEPENDENT HEALTHCARE CENTERS THAT SEE A CUT IN UNFORESEEN PAYOUTS. ADDRESS 123/A, Street, State-12345, Demo WORKING HOURS MON - FRI: 08:00AM - 20:00PM Saturday and Sunday: Closed WRITE US demo@hospital.com info@hospital.com support@hospital.com CALL US (012)-345-6788 (022)-143-545-45 (011)-122-244-45 Notes submitted to the Attendance Office must include following: * Praesent pellentesque nunc vel velit varius feugiat. * Suspendisse vel ex vitae velit dignissim faucibus. * Integer congue erat vel bibendum volutpat. * Nunc nec quam dapibus, placerat est in, tincidunt nibh. * Sed facilisis velit sit amet purus mattis, id rutrum leo scelerisque. * testing...... Notes — It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. New Patient Old Patient 1PROVIDE YOUR PRIMARY INFORMATION ABOUT THE FOLLOWING DETAILS. First Name* Last Name* Email Address* Please provide a valid email. Phone No Department Name * Select Department Oncology Pharmacy Radiotherapy Rheumatology Gynaecology Obstetrics General Surgery Pregnancy Surgery Psychology Therapy Nursing Cardiology X-rey Select Department 2 HELP US WITH ACCURATE INFORMATION ABOUT THE FOLLOWING DETAILS Doctor Name* Appointment Date * Serial No * 01 02 03 ... N Problem I consent to having this website store my submitted information so they can respond to my inquiry. Book Appointment 1 PROVIDE YOUR PRIMARY INFORMATION ABOUT THE FOLLOWING DETAILS. Patient ID * If Forgot Patient ID Please Selected The CheckBox Department Name * Select Department Oncology Pharmacy Radiotherapy Rheumatology Gynaecology Obstetrics General Surgery Pregnancy Surgery Psychology Therapy Nursing Cardiology X-rey Select Department Doctor Name* Appointment Date * Serial No * 01 02 03 ... N Problem Book Appointment DOCTOR LIST It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. View our team of surgeons LATEST NEWS It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. 23 January, 2019 In X-rey PIE CHART EXAMPLE Where does it come from? Contrary to popular belief, Lorem Ipsum is not simply random text. It has roots in a piece of classical… ... Read More 24 January, 2019 In Pregnancy PREGNANCY, ALSO KNOWN AS… professor at Hampden-Sydney College in Virginia, looked up one of the more obscure Latin words, consectetur, from a Lorem… ... Read More 24 January, 2019 In Cardiology WHAT IS CARDIOLOGY? Cardiologists are doctors who specialize in diagnosing and treating diseases or conditions of the heart and blood vessels—the… ... Read More MAKE AN APPOINTMENT! GO THERE ABOUT US The simplest method of installation is through the Sublime Text conso The simplest method of installation is through the Sublime Text conso The simplest method of installation is through the Sublime Text… Contact Us DEPARTMENTS * Cardiology * Gynaecology * Nursing * Pharmacy * Pregnancy * Psychology * Radiotherapy QUICK LINKS * Home * Services * About Us * Doctors * Departments * Contact Us * Patient Login * Others CONTACT DETAILS 123/A, Street, State-12345, Demo * Phone No: (012)-345-6788 * Text: (123) 456-7890 * Email Address: demo@hospital.com * Fax: (123) 456-7890 Get Directions Copyright © 2016- BDtask . All rights reserved.