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2001:4d50:f016:637::133  Public Scan

Form analysis
1 forms found in the DOM

Name: order_booking_time — POST

<form name="order_booking_time" method="post" id="wrapped" novalidate="novalidate">
  <div id="middle-wizard">
    <div class="submit step">
      <strong class="wizard_step">1/3</strong>
      <h1 class="main_question"> Bitte wählen Sie einen Termin </h1>
      <p>
        <a href="https://my.probatix.de/user/register?redirectUrl=https%3A%2F%2Ftestzentrum-schotten.probatix.de%2Fde%2Fpick-slot" target="_blank" id="tab-focus">
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                </a>
      </p>
      <span class="sub_question">
        <div class="form-group"><label class="required" for="order_booking_time_orderProduct_product">Product</label><select id="order_booking_time_orderProduct_product" name="order_booking_time[orderProduct][product]" class="form-control">
            <option value="9b0dae91-5e70-11ec-bc97-960000ac224d" selected="selected">Corona-Schnelltest</option>
          </select></div>
      </span>
      <div id="calendar-group-loading" style="display: none;">
        <div class="d-flex justify-content-center">
          <div class="spinner-border" role="status">
            <span class="sr-only">Loading...</span>
          </div>
        </div>
      </div>
      <div>
        <p id="availability-description"></p>
      </div>
      <div class="form-group" id="calendar-form-group" style="">
        <input id="pick-date" type="text" name="dates" class="form-control required" placeholder="Datum" wählen="" autocomplete="off" aria-pressed="false">
        <i class="icon-hotel-calendar_3"></i>
      </div>
      <div class="form-group d-none" id="time-group-loading">
        <div class="text-center">
          <div class="spinner-border" role="status">
            <span class="sr-only">Lädt...</span>
          </div>
        </div>
      </div>
      <div class="form-group d-none" id="time-group">
        <label for="time-of-day"> Zeit wählen </label>
        <div>
          <div class="alert alert-warning" id="alert-no-free-slots" style="display: none;"> An diesem Tag sind leider keine Termine verfügbar </div>
          <div class="btn-group btn-block" id="time-of-day">
            <button id="pick-daytime" type="button" class="btn btn-sm btn-outline-secondary btn-outline-color1 col" data-time-from="0" data-time-to="11" data-label="Morgens" data-label-no-slots="Keine" termine="" aria-pressed="false"> Morgens
            </button>
            <button id="pick-daytime" type="button" class="btn btn-sm btn-outline-secondary btn-outline-color1 col" data-time-from="12" data-time-to="17" data-label="Nachmittags" aria-pressed="false" data-label-no-slots="Keine" termine="">
              Nachmittags </button>
            <button id="pick-daytime" type="button" class="btn btn-sm btn-outline-secondary btn-outline-color1 col" data-time-from="18" data-time-to="24" data-label="Abends" aria-pressed="false" data-label-no-slots="Keine" termine=""> Abends
            </button>
          </div>
        </div>
      </div>
      <div class="form-group" id="available-slots-form-group" style="display: none;">
        <div id="available-slots">
        </div>
      </div>
      <div class="row no-gutters pb-1">
        <div class="col">
        </div>
        <div class="col amount">
          <div class="form-group">
            <label for="order_booking_time_orderProduct_quantity" class="required">Anzahl</label><br>
            <div class="qty-buttons">
              <label for="decreaseQuantityByOne" class="sr-only">label.decreaseQuantityByOne</label>
              <input type="button" value="-" class="qtyminus" data-target-id="order_booking_time_orderProduct_quantity" name="decreaseQuantityByOne" id="tab-focus">
              <input type="number" id="order_booking_time_orderProduct_quantity" name="order_booking_time[orderProduct][quantity]" required="required" max="" min="1" value="1" placeholder="Anzahl" class="qty form-control required form-control">
              <label for="increaseQuantityByOne" class="sr-only">label.increaseQuantityByOne</label>
              <input type="button" value="+" class="qtyplus" data-target-id="order_booking_time_orderProduct_quantity" name="increaseQuantityByOne" id="tab-focus">
            </div>
            <span class="hidden-product-count sr-only" role="status">1</span>
          </div>
        </div>
        <div class="col" style="text-align: right;">
        </div>
      </div>
    </div>
  </div>
  <div id="bottom-wizard">
    <div class="row">
      <div class="col">
        <button type="submit" id="order_booking_time_submit" name="order_booking_time[submit]" class="submit btn invisible">Weiter</button>
      </div>
    </div>
  </div>
  <input type="hidden" id="selectedBookingTime" name="order_booking_time[selectedBookingTime]">
  <input type="hidden" id="order_booking_time__token" name="order_booking_time[_token]" value="f844078bae668.LM1sVoWBMdrmQytDN_ymoZscpO3YDmRGjx4o57VV7Bg.QpQgNcq2RrSTOk8mR6nzz8Rd19SUR1B-5klSiuQT2VwUgBUD69tuk40hSA">
</form>

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Außengelände Gesundheitssport & Physiotherapie WUPAS, Vogelsbergstr. 199 in
63679 Schotten


 * Homepage
 * Impressum
 * Datenschutz
 * myProbatix-Registrierung

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ProductCorona-Schnelltest
Loading...




Lädt...
Zeit wählen
An diesem Tag sind leider keine Termine verfügbar
Morgens Nachmittags Abends

Anzahl

label.decreaseQuantityByOne label.increaseQuantityByOne
1

Weiter
 * Homepage
 * Impressum
 * Datenschutz
 * myProbatix-Registrierung

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