www.solidarmed.comhic.website Open in urlscan Pro
153.92.215.163  Public Scan

Form analysis
1 forms found in the DOM

POST https://www.solidarmed.comhic.website/login

<form action="https://www.solidarmed.comhic.website/login" method="post">
  <input type="hidden" name="_token" value="V6euc7qbd6bNX5DDc6ovLg0PB2tJPdpWiQTtpGzM">
  <div class="input-group mb-3">
    <input type="text" class="form-control" placeholder="Username" name="username">
    <div class="input-group-append">
      <div class="input-group-text">
        <span class="fas fa-phone"></span>
      </div>
    </div>
  </div>
  <div class="input-group mb-3">
    <input type="password" class="form-control" placeholder="Password" name="password">
    <div class="input-group-append">
      <div class="input-group-text">
        <span class="fas fa-lock"></span>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-12">
      <div class="icheck-primary">
        <p>
        </p>
      </div>
    </div>
    <div class="col-8">
    </div>
    <!-- /.col -->
    <div class="col-4">
      <button type="submit" class="btn btn-sm btn-block" style="background-color:#e6003c;color:#ffffff"><i class="fa fa-arrow-right"></i></button>
    </div>
    <!-- /.col -->
  </div>
</form>

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