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Source: https://bkad-kolutkab.id/

  1. <!DOCTYPE html>
  2. <html lang="en">
  3.  <head>
  4.    <meta charset="UTF-8" />
  5.    <meta name="viewport" content="width=device-width, initial-scale=1.0" />
  6.    <title>Antrian Online Rumah Sakit TK II Kartika Husada</title>
  7.    <meta name="description" content="Ambil Antrian Online Rumah Sakit TK II Kartika Husada"/>
  8.    <link
  9.      href="https://fonts.googleapis.com/css2?family=Inter:wght@400;500;600;700;800&display=swap"
  10.      rel="stylesheet"
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  13.    <link rel="preload" as="style" href="https://antrian.rskhpontianak.com/build/app.9544bbf0.css" /><link rel="stylesheet" href="https://antrian.rskhpontianak.com/build/app.9544bbf0.css" />  </head>
  14.  <body>
  15.    <div class="flex items-center min-h-screen p-6 bg-gray-50 dark:bg-gray-900">
  16.      <div class="flex-1 h-full max-w-4xl mx-auto overflow-hidden bg-white rounded-lg shadow-xl dark:bg-gray-800">
  17.        <div class="md:flex justify-center items-center my-10">
  18.          <div class="md:mr-4 flex justify-center items-center">
  19.            <img class="object-scale-down h-16" src="https://antrian.rskhpontianak.com/image/logo_pdf.png">
  20.          </div>
  21.          <div>
  22.            <a href="https://rskhpontianak.com/">
  23.              <h2 class="text-center font-bold text-xl md:text-4xl text-green-700 shadow-sm">RUMAH SAKIT KARTIKA HUSADA</h2>
  24.            </a>
  25.          </div>
  26.        </div>
  27.        <div class="flex flex-col overflow-y-auto md:flex-row">
  28.          <div class="m-6 flex justify-center items-center h-32 md:h-auto md:w-1/2">
  29.            <img
  30.              aria-hidden="true"
  31.              class="object-cover w-full h-full dark:hidden rounded"
  32.              src="https://antrian.rskhpontianak.com/image/login.jpg"
  33.              alt="Office"
  34.            />
  35.            <img
  36.              aria-hidden="true"
  37.              class="hidden object-cover w-full h-full dark:block rounded"
  38.              src="https://antrian.rskhpontianak.com/image/login.jpg"
  39.              alt="Office"
  40.            />
  41.          </div>
  42.          <div class="flex items-center justify-center p-6 sm:p-12 md:w-1/2">
  43.            <form method="POST" action="https://antrian.rskhpontianak.com/auth/pasien/store" class="w-full">
  44.              <input type="hidden" name="_token" value="kMWyciO2bLtrcv2UpTKtP6UwK0Clh2DT4Q0j4EzE">              <h1 class="mb-4 text-xl text-center font-semibold text-gray-700 dark:text-gray-200">Antrian Online</h1>
  45.              <label class="block text-sm">
  46.                <div class="text-gray-700 dark:text-gray-400">No RM <span class="text-gray-500 text-[12px]">(contoh: 010114)</span></div>
  47.                <span class="text-gray-500 dark:text-gray-400 text-[12px]">*terdiri dari 6 digit nomor</span>
  48.                <input
  49.                  name="no_rm" type="number" class="block w-full mt-1 text-sm dark:border-gray-600 dark:bg-gray-700 focus:border-purple-400 focus:outline-none focus:shadow-outline-purple dark:text-gray-300 dark:focus:shadow-outline-gray form-input"
  50.                  placeholder="010114" required autocomplete="off"
  51.                  oninvalid="this.setCustomValidity('Silahkan Mengisi No RM')" oninput="setCustomValidity('')"
  52.                />
  53.              </label>
  54.              <label class="block mt-4 text-sm">
  55.                <div class="text-gray-700 dark:text-gray-400 block">Tanggal Lahir <span class="text-gray-500 text-[12px]">(contoh: 07041988)</span></div>
  56.                <span class="text-gray-500 dark:text-gray-400 text-[12px]">*format (tanggal bulan tahun)</span>
  57.                <input
  58.                  name="password" class="block w-full mt-1 text-sm dark:border-gray-600 dark:bg-gray-700 focus:border-purple-400 focus:outline-none focus:shadow-outline-purple dark:text-gray-300 dark:focus:shadow-outline-gray form-input"
  59.                  placeholder="***************"
  60.                  type="password" required autocomplete="off"
  61.                  oninvalid="this.setCustomValidity('Silahkan Mengisi Tanggal Lahir')" oninput="setCustomValidity('')"
  62.                />
  63.              </label>
  64.              <button id="submit-button" type="submit" class="block w-full px-4 py-2 mt-4 text-sm font-medium leading-5 text-center text-white transition-colors duration-150 bg-purple-600 border border-transparent rounded-lg active:bg-purple-600 hover:bg-purple-700 focus:outline-none focus:shadow-outline-purple">
  65.                Masuk
  66.              </button>
  67.                            <hr class="my-8" />
  68.              
  69.            </form>
  70.          </div>
  71.        </div>
  72.      </div>
  73.    </div>
  74.    <link rel="preload" as="style" href="https://antrian.rskhpontianak.com/build/app.4f7223e6.css" /><link rel="modulepreload" href="https://antrian.rskhpontianak.com/build/app.200ddf8e.js" /><link rel="stylesheet" href="https://antrian.rskhpontianak.com/build/app.4f7223e6.css" /><script type="module" src="https://antrian.rskhpontianak.com/build/app.200ddf8e.js"></script>    <script src="https://antrian.rskhpontianak.com/js/init-alpine.js"></script>
  75.      </body>
  76. </html>
  77.  

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