[[static_header.html]]

<!--********************************************-->

<div id="content">
				<div class="container">
					<!-- Login form -->
                                  <form class="form-login form-wrapper form-narrow" name="frm" action="$login_url" method="post">
						<h3 class="title-divider">
							<span>Patient Login</span>
							<small>Please Enter Your Card Number and Pin</small>
						</h3>
						<div class="form-group">
							<label class="sr-only" for="signup-first-name-page">Card Number</label>
							<input type="text" class="form-control" name="id" placeholder="Card Number">
						</div>
						<div class="form-group">
							<label class="sr-only" for="signup-password-page">Pin</label>
							<input type="password" class="form-control" name="pin" placeholder="Pin">
						</div>
                                          <button type="submit" class="btn btn-primary">Login</button>

					</form>
					
					<div class="row-fluid">
						<div class="col-md-6 col-md-offset-3">

                                          <!-- Session Expiry and Login Error START -->
                                             <p>
                                                {$is_expired{<font color="#ff0000">Your session has expired. Please log in again.</font>}}<br>
                                                {$error{<font color="#ff0000">$error</font>}}
                                             </p>
                                          <!-- Session Expiry and Login Error  END -->

							<h4>Medication Profiles Available Online Anytime Anywhere</h4>
							<p>You can securely login using your card and pin.</p>
							<ul class="fa-ul list-lg">
								<li><i class="fa-li fa fa-check primary-colour"></i> You can now see your personal prescription history anywhere anytime</li>
								<li><i class="fa-li fa fa-check primary-colour"></i> Order Refills</li>
								<li><i class="fa-li fa fa-check primary-colour"></i> Share your prescription history with your doctor and other health professionals</li>
								<li><i class="fa-li fa fa-check primary-colour"></i> Secure Access</li>
							</ul>
						</div>
					</div>
				</div>
</div>


<!--********************************************-->

    
[[static_footer.html]]