emr.avicennaclinic.com Open in urlscan Pro
2606:4700:3037::ac43:b98d  Public Scan

Form analysis
1 forms found in the DOM

Name: login_form — POST ../main/main_screen.php?auth=login&site=default

<form method="POST" id="login_form" autocomplete="off" action="../main/main_screen.php?auth=login&amp;site=default" target="_top" name="login_form">
  <input type="hidden" name="new_login_session_management" value="1">
  <input type="hidden" name="languageChoice" value="1">
  <div id="standard-auth-username" class="form-group row">
    <label for="authUser" class=" col-form-label col-sm-4">Username</label>
    <div class="col">
      <input type="text" class="form-control" id="authUser" name="authUser" placeholder="Username">
    </div>
  </div>
  <div id="standard-auth-password" class="form-group row">
    <label for="clearPass" class=" col-form-label col-sm-4">Password</label>
    <div class="col">
      <input type="password" class="form-control" id="clearPass" name="clearPass" placeholder="Password">
    </div>
  </div>
  <div class="form-group row">
    <label for="language" class=" col-form-label col-sm-4">Language</label>
    <div class="col">
      <select class="form-control" name="languageChoice" size="1">
        <option value="1" selected="">Default - English (Standard)</option>
        <option value="27">Albanian</option>
        <option value="19">Arabic</option>
        <option value="13">Armenian</option>
        <option value="14">Bahasa Indonesia</option>
        <option value="10">Chinese (Simplified)</option>
        <option value="11">Chinese (Traditional)</option>
        <option value="28">Czech</option>
        <option value="20">Danish</option>
        <option value="6">Dutch</option>
        <option value="16">English (Indian)</option>
        <option value="1">English (Standard)</option>
        <option value="32">Finnish</option>
        <option value="9">French (Canadian)</option>
        <option value="8">French (Standard)</option>
        <option value="5">German</option>
        <option value="15">Greek</option>
        <option value="7">Hebrew</option>
        <option value="24">Hindi</option>
        <option value="23">Italian</option>
        <option value="31">Japanese</option>
        <option value="33">Marathi</option>
        <option value="30">Persian</option>
        <option value="22">Polish</option>
        <option value="18">Portuguese (Brazilian)</option>
        <option value="17">Portuguese (European)</option>
        <option value="25">Romanian</option>
        <option value="12">Russian</option>
        <option value="4">Spanish (Latin American)</option>
        <option value="3">Spanish (Spain)</option>
        <option value="2">Swedish</option>
        <option value="34">Tamil</option>
        <option value="21">Turkish</option>
        <option value="29">Ukrainian</option>
        <option value="26">Vietnamese</option>
      </select>
    </div>
  </div>
  <div class="form-group d-flex justify-content-between">
    <button id="login-button" class="btn btn-primary flex-fill" type="submit" onclick="transmit_form(this)">Login</button>
  </div>
</form>

Text Content

Avicenna Clinic

Username

Password

Language
Default - English (Standard) Albanian Arabic Armenian Bahasa Indonesia Chinese
(Simplified) Chinese (Traditional) Czech Danish Dutch English (Indian) English
(Standard) Finnish French (Canadian) French (Standard) German Greek Hebrew Hindi
Italian Japanese Marathi Persian Polish Portuguese (Brazilian) Portuguese
(European) Romanian Russian Spanish (Latin American) Spanish (Spain) Swedish
Tamil Turkish Ukrainian Vietnamese
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