medicarama.paymentplan.pro Open in urlscan Pro
212.227.149.247  Public Scan

Form analysis
1 forms found in the DOM

POST https://medicarama.paymentplan.pro/login

<form action="https://medicarama.paymentplan.pro/login" method="post">
  <p class="login-box-msg">Login</p>
  <div class="form-group has-feedback">
    <input type="email" class="form-control" placeholder="Email" name="email" value="" required="">
  </div>
  <div class="form-group has-feedback">
    <input type="password" class="form-control" placeholder="Password" name="password" required="">
  </div>
  <div class="form-group">
    <button type="submit" class="btn btn-primary btn-block"><i class="las la-sign-in-alt"></i> Login</button>
  </div>
</form>

Text Content

Login



Login