www.bgh.aparajitahospital.com Open in urlscan Pro
103.163.247.98  Public Scan

Form analysis
1 forms found in the DOM

POST https://www.bgh.aparajitahospital.com/login

<form class="forms-sample" action="https://www.bgh.aparajitahospital.com/login" method="POST">
  <input type="hidden" name="_token" value="n0I1sp1KXjsZukFjwqr7qV1mz2F8dOx13nK2frPm" autocomplete="off">
  <div>
  </div>
  <div class="mb-3">
    <label for="email" class="form-label">Email address</label>
    <input type="email" class="form-control" id="email" name="email">
  </div>
  <div class="mb-3">
    <label for="password" class="form-label">Password</label>
    <input type="password" class="form-control" id="password" name="password">
  </div>
  <div class="form-check mb-3">
    <input type="checkbox" id="checkbox1" name="active" value="1" class="form-check-input">
    <label class="form-check-label" for="checkbox1"> Remember me </label>
  </div>
  <div>
    <button type="submit" class="btn btn-primary me-2 mb-2 mb-md-0 text-white">Login</button>
  </div>
  <a href="https://www.bgh.aparajitahospital.com/forgot-password" class="float-end">
                                                <small>Forgot password?</small>
                                            </a>
</form>

Text Content

BGH

WELCOME BACK! LOG IN TO YOUR ACCOUNT.

Email address
Password
Remember me
Login
Forgot password?