pisonhospitalv1.zigmawave.com.ng Open in urlscan Pro
195.35.33.33  Public Scan

Form analysis
1 forms found in the DOM

POST #

<form action="#" class="signin-form" method="post">
  <input type="hidden" name="login">
  <span></span>
  <div class="form-group" style="border:1px solid white; border-radius: 50px;">
    <input type="text" class="form-control" placeholder="Username" name="username" autocomplete="off" required="">
  </div>
  <div class="form-group" style="border-radius: 50px; border: 1px solid white;">
    <input id="password-field" type="text" class="form-control" name="password" style="text-security:disc; -webkit-text-security:disc;" autocomplete="off" placeholder="Password" required="">
    <span toggle="#password-field" class="fa fa-fw fa-eye field-icon toggle-password"></span>
  </div>
  <div class="form-group">
    <button class="form-control btn submit px-3" style="color: white; background-color: #05044A; border: 1PX SOLID;">Sign In</button>
  </div>
  <div class="form-group d-md-flex">
    <div class="w-50">
      <label class="checkbox-wrap">Remember Me <input type="checkbox" checked="">
        <span class="checkmark"></span>
      </label>
    </div>
    <div class="w-50 text-md-right">
      <a href="#" style="color: #fff">Forgot Password</a>
    </div>
  </div>
</form>

Text Content

PISON HOSPITAL

Sign In
Remember Me
Forgot Password