www.login.poliklinikapremium.hr Open in urlscan Pro
178.218.165.201  Public Scan

Form analysis
1 forms found in the DOM

POST

<form class=" user" role="form" autocomplete="off" method="post">
  <div class="form-group input-group has-validation">
    <input type="text" class="form-control form-control-user " name="username" placeholder="Username" autofocus="" required="">
  </div>
  <div class="form-group">
    <input type="password" name="password" class="form-control form-control-user" placeholder="Password" required="">
  </div>
  <!-- <div class="form-group">
                                            <div class="custom-control custom-checkbox small">
                                                <input type="checkbox" class="custom-control-input" id="remeberme">
                                                <label class="custom-control-label" for="remeberme">Zapamti me</label>
                                            </div>
                                        </div> -->
  <input name="login" class="btn btn-primary btn-user btn-block" value="Login" type="submit">
  <!--<a href="index.html" class="btn btn-google btn-user btn-block">
                                            <i class="fab fa-google fa-fw"></i> Login with Google
                                        </a>-->
</form>

Text Content

MEDICAL APP V1.0



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