wagw.rsudkarsahusadabatu.com Open in urlscan Pro
103.55.39.38  Public Scan

Form analysis
1 forms found in the DOM

POST https://wagw.rsudkarsahusadabatu.com/login

<form class="form-body" action="https://wagw.rsudkarsahusadabatu.com/login" method="POST">
  <input type="hidden" name="_token" value="eTceyQ78jGyD6hb0Je0tqDMbFjXAYyTEKQw1LN5e">
  <div class="row g-3">
    <div class="col-12">
      <label for="username" class="form-label">Username</label>
      <div class="ms-auto position-relative">
        <div class="position-absolute top-50 translate-middle-y search-icon px-3">
          <i class="bi bi-person-fill"></i>
        </div>
        <input type="text" class="form-control radius-30 ps-5 " id="username" name="username" placeholder="Username" required="">
      </div>
      <p class="text-danger">
      </p>
    </div>
    <div class="col-12">
      <label for="password" class="form-label">Enter Password</label>
      <div class="ms-auto position-relative">
        <div class="position-absolute top-50 translate-middle-y search-icon px-3"><i class="bi bi-lock-fill"></i></div>
        <input type="password" name="password" class="form-control radius-30 ps-5" id="password" placeholder="Enter Password" required="">
      </div>
    </div>
    <div class="col-12">
      <div class="d-grid">
        <button type="submit" class="btn btn-primary radius-30">Sign In</button>
      </div>
    </div>
    <div class="col-12">
      <p class="mb-0">Don't have an account yet? <a href="https://wagw.rsudkarsahusadabatu.com/register">Sign up here</a></p>
    </div>
  </div>
</form>

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