reliancemedical.cdox.net Open in urlscan Pro
178.79.163.136  Public Scan

Form analysis
1 forms found in the DOM

POST

<form class="plg_mysqlpassword_form" method="POST">
  <input type="hidden" name="redirect" value="/"><input type="hidden" name="redirectchk" value="iS748hQ2CCH5cKooBEe/4IzV5oo">
  <div class="row">
    <div class="col-lg-12 login_container">
      <div class="ml-auto mr-auto">
        <!-- Use custom login logo -->
        <div class="customer_logo_img" style="background-image: url(/theme/sysimg/loginLogo?plugin=CogniDoxMySQLPasswordPlugin);">
        </div>
      </div>
      <div class="static_card align-self-center" style="text-align: left;">
        <h3></h3>
        <div class="form-group" data-widget="textfield" data-name="login"><label>Username</label><input type="text" class="form-control" id="login" aria-describedby="login-desc" placeholder="Username or email address" name="login"
            autocomplete="username" tabindex="1" value="" data-label="Username" size="50"><small id="login-desc" class="form-text text-muted"></small></div>
        <script type="text/javascript">
          $('#login').on('keydown', function(e) {
            if (e.keyCode == 13) {
              e.preventDefault();
              e.stopPropagation();
              $("#password").trigger("focus")
            }
          });
        </script>
        <div class="form-group" data-widget="textfield" data-name="password"><label>Password</label><input type="password" class="form-control cog-pwd-field veil cog-no-select" id="password" aria-describedby="password-desc" placeholder=""
            name="password" autocomplete="current-password" tabindex="2" value="" data-label="Password"><button class="PeekPassword"><svg xmlns="http://www.w3.org/2000/svg" baseProfile="tiny" overflow="visible" version="1.2" viewBox="0 0 274 162">
              <defs></defs>
              <path fill="currentColor"
                d="M130 127zm0 0zm0 0zM130 127zM263 78s-10-17-30-34c-19-15-51-33-96-33h-2A149 149 0 0010 78l-1 2 1 3s9 16 28 32c17 14 47 33 88 35h1a77 77 0 0018 0c42-2 72-20 90-35 19-16 28-32 28-32l1-2-1-3zM72 108a75 75 0 01-30-27c2-5 11-18 30-28a70 70 0 000 55zm58 19zm7-12a34 34 0 110-68 34 34 0 010 68zm64-8a69 69 0 000-54c18 10 27 23 29 28-3 4-11 16-29 26z">
              </path>
            </svg></button><small id="password-desc" class="form-text text-muted"></small></div>
        <script type="text/javascript">
          $('#password').on('keydown', function(e) {
            if (e.keyCode == 13) {
              e.preventDefault();
              e.stopPropagation();
              $(this).parents("form").eq(0).trigger("submit")
            }
          });
        </script>
        <input type="submit" id="cid6cb4d40eac56b49b3617204779608108a2bd51da" value="Login" class="btn btn-primary btn-submit plg_mysqlpassword_loginbtn disabled" disabled="" tabindex="4"> <span
          class="ml-2 forgot_link"><a href="/cgi-public/init-password">Forgotten password or login?</a></span>
      </div>
    </div>
  </div>
</form>

Text Content

Username
Password
Forgotten password or login?