www.queue-ticket.asa-animal-hospital.com Open in urlscan Pro
219.94.129.99  Public Scan

Form analysis
1 forms found in the DOM

POST https://www.queue-ticket.asa-animal-hospital.com/owner/login

<form method="POST" action="https://www.queue-ticket.asa-animal-hospital.com/owner/login" aria-label="ログイン"><input type="hidden" name="_token" value="IAJLgCctHXSA4NG5CXLYLMYXPabVN480uv4LaDOC">
  <div class="form-group row"><label for="card_num" class="col-sm-4 col-form-label text-md-right">飼い主様ID</label>
    <div class="col-md-6"><input id="card_num" type="number" name="card_num" value="" required="required" autofocus="autofocus" class="form-control"></div>
  </div>
  <div class="form-group row"><label for="tel" class="col-sm-4 col-form-label text-md-right">電話番号</label>
    <div class="col-md-6"><input id="tel" type="tel" name="tel" value="" required="required" autofocus="autofocus" class="form-control"></div>
  </div>
  <div class="form-group row">
    <div class="col-md-6 offset-md-4">
      <div class="form-check"><input type="checkbox" name="remember" id="remember" class="form-check-input"> <label for="remember" class="form-check-label"><small>ログイン状態を保存する</small></label></div>
    </div>
  </div>
  <div class="form-group row mb-0">
    <div class="col-md-8 offset-md-4"><button type="submit" class="btn btn-primary"> ログイン </button></div>
  </div>
</form>

Text Content

～飼い主様ページ～

飼い主様ログイン
飼い主様ID

電話番号

ログイン状態を保存する
ログイン