online24.damian.pl
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91.212.165.108
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Submitted URL: http://online24.damian.pl/
Effective URL: https://online24.damian.pl/
Submission: On January 22 via manual from PL — Scanned from PL
Effective URL: https://online24.damian.pl/
Submission: On January 22 via manual from PL — Scanned from PL
Form analysis 1 forms found in the DOM
<form class="chakra-stack css-nqo36r">
<div class="css-tehblq">
<div class="chakra-tabs css-13o7eu2" align="start">
<div role="tablist" aria-orientation="horizontal" class="chakra-tabs__tablist css-18c8jof"><button type="button" id="tabs-15--tab-0" role="tab" tabindex="0" aria-selected="true" aria-controls="tabs-15--tabpanel-0"
class="chakra-tabs__tab css-drlfr6" data-index="0">Full version</button><button type="button" id="tabs-15--tab-1" role="tab" tabindex="-1" aria-selected="false" aria-controls="tabs-15--tabpanel-1" class="chakra-tabs__tab css-drlfr6"
data-index="1">Simple version</button></div>
</div>
</div>
<div role="group" class="chakra-form-control css-1kxonj9">
<div class="css-kvp1zh"><label id="username-label" for="username" class="chakra-form__label chakra-text css-1u55o20">Card
number</label><a class="chakra-link css-10y0d5c" data-testid="link-username" name="username" tabindex="-1" href="/remind-mrn">I forgot the card number</a></div><input data-testid="input-username" autocomplete="username"
placeholder="Enter card number" name="username" type="number" id="username" class="chakra-input css-1kfi9xy">
</div>
<div class="css-1stwk95">
<div role="group" class="chakra-form-control css-1kxonj9">
<div class="css-kvp1zh"><label id="password-label" for="password"
class="chakra-form__label chakra-text css-1u55o20">Password</label><a class="chakra-link css-10y0d5c" data-testid="link-password" name="password" tabindex="-1" href="/password/reset">I forgot the password</a></div>
<div class="chakra-input__group css-4302v8"><input data-testid="input-password" type="password" autocomplete="current-password" placeholder="Enter password" name="password" id="password" class="chakra-input css-wc77e4">
<div class="chakra-input__right-element css-a9l24u"><button type="button" class="css-pvd0rv"><svg viewBox="0 0 26 21" focusable="false" class="chakra-icon css-ykyn1j" size="6"><svg id="icon_show" xmlns="http://www.w3.org/2000/svg"
width="26.034" height="20.825">
<path id="path" fill="currentColor"
d="M23.145 49.3a.957.957 0 0 0-1.355 0l-3.4 3.4c-4.212-1.908-8.707-1.441-12.99 1.359a21.715 21.715 0 0 0-5.216 4.813.965.965 0 0 0 .027 1.169 23.489 23.489 0 0 0 5.663 5.18l-2.991 2.991a.956.956 0 1 0 1.349 1.355l18.913-18.908a.962.962 0 0 0 0-1.359zM10.65 60.445a2.487 2.487 0 0 1-.207-1.009 2.575 2.575 0 0 1 3.586-2.369zm4.792-4.787a4.483 4.483 0 0 0-6.195 6.195l-1.971 1.971A20.121 20.121 0 0 1 2.2 59.42a20.463 20.463 0 0 1 4.245-3.761c3.538-2.306 7.061-2.805 10.493-1.493z"
transform="translate(0 -49.023)"></path>
<path id="path-2" data-name="path" fill="currentColor"
d="M196.888 157.768a25.611 25.611 0 0 0-4.054-4.054.959.959 0 1 0-1.185 1.509 22.845 22.845 0 0 1 3.251 3.161 20.963 20.963 0 0 1-3.506 3.257c-3.193 2.322-6.418 3.161-9.579 2.492a.955.955 0 0 0-.393 1.87 11.906 11.906 0 0 0 2.486.26 12.64 12.64 0 0 0 3.777-.59 16.866 16.866 0 0 0 4.882-2.524 21.944 21.944 0 0 0 4.346-4.213.965.965 0 0 0-.025-1.168z"
transform="translate(-171.064 -147.961)"></path>
</svg></svg></button></div>
</div>
</div>
</div>
<div class="css-1ki54i"><button type="submit" class="chakra-button css-nxn108" data-testid="button-login" name="login">Log in</button></div>
<div class="css-0">
<p class="chakra-text css-4b1qzn">Are you not our patient yet?</p><a class="chakra-link css-10y0d5c" data-testid="link-registerLink" name="registerLink" href="/account/register">Register Online</a>
</div>
</form>Text Content
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