[[static_header.html]]



<!-- Main Content Area -->

    </td>
  </tr>
  <tr>
    <td width="100%" class="row2">
    <div align="center">
      <center>
      
      <table border="0" width="90%" cellspacing="0" cellpadding="0">
        
        <tr>
          <td width="100%" class="blue-txtc">
            <h1>Login</h1>
          </td>
        </tr>
        <tr>
          <td width="100%" height="10"></td>
        </tr>
        <tr>
          <td width="100%">
          <table border="0" width="100%" cellspacing="0" cellpadding="0">
            <tr>
              <td valign="top">
                <table border="0" width="100%" cellspacing="0" cellpadding="0">
                  <tr>
                    <td width="100%" class="blue-txta"><b>Please enter your Card
                      number and Pin</b></td>
                  </tr>
                  <tr>
                    <td width="100%">&nbsp;</td>
                  </tr>
                  <tr>
                    <td width="100%" class="pass-box" height="158" align="center">
	<form name="frm" action="$login_url" method="post">
                      <div align="center">
                        <table border="0" cellspacing="0" cellpadding="0">
                          <tr>
                            <td class="blue-txta">Card Number</td>
                            <td align="center" width="10" height="30" class="blue-txta">:</td>
                            <td><input type="text" name="id" size="28"></td>
                          </tr>
                          <tr>
                            <td class="blue-txta">Pin</td>
                            <td align="center" height="30" class="blue-txta">:</td>
                            <td><input type="password" name="pin" size="28"></td>
                          </tr>
                       <!--   <tr>
                            <td class="blue-txta">Language</td>
                            <td align="center" height="30" class="blue-txta">:</td>
                            
                          
                          
    												<TD><select name="lang">$language_select</select></TD>
                          
                          
                            
                          </tr> -->
                          <tr>
                            <td></td>
                            <td align="center" height="10"></td>
                            <td></td>
                          </tr>
                          <tr>
                            <td></td>
                            <td align="center"></td>
                            <td>
                            <!-- <INPUT class=X1 type="Submit" value="Login" name="B3"> -->
														
                            <input type="image" value="Submit" class="no-border" src="$staticimages_http_prefix/but-login.jpg" width="80" height="29" name="B3">
                            </td>
                          </tr>
                        </table>
                      </div>
</form>
                    </td>
                  </tr>
                </table>

<!-- 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 -->
              </td>
              <td align="right" valign="middle" width="328" >
              
              <center>
              
              <p class="blue-txta"><b><a href='javascript:void(0)' onclick="window.open('../../share/refillembed.html', 'linkname', 'width=500,height=450,status=no,toolbar=no,menubar=no')">
              Click here to view our how to video!
             	</a></b></p>
              <a href='javascript:void(0)' onclick="window.open('../../share/refillembed.html', 'linkname', 'width=500,height=450,status=no,toolbar=no,menubar=no')">
              <img border="0" src="templates_boggios/static_images/refillhands.jpg" width="277" height="190" align="top"  style="margin-top:-10px">
              </a>
              </center></td>
            </tr>
          </table>
          </td>
        </tr>
        <tr>
          <td width="100%" class="blue-txtc">
          <table border="0" cellspacing="0" cellpadding="0" width="100%">
          	<tr>
            	<td width = "62%">
            <h1>Medication Profiles Available Online <br />
            Anytime Anywhere</h1>
            You can securely login using your card and pin.
<ul>
<li>&nbsp;You can now see your personal prescription history anywhere anytime</li>
	<li>&nbsp;Order Refills</li>
	<li>&nbsp;Share your prescription history with your doctor and other health 
	professionals</li>
	<li>&nbsp;Add your Health Values (Blood Pressure, Cholesterol and Blood 
	Sugar)</li>
	<li>&nbsp;Secure Access</li>
</ul>
            	</td>
                <td width = "34%" style="text-align:left; padding-left:20px;">
                <a  href="https://www.boggios.com/secure/centralprofile/orderpage2.php">
               	  <img src="templates_boggios/static_images/express1.jpg" width="173" height="163" /></a></td>
                
            </table>
          </td>
        </tr>
        <tr>
          <td width="100%" height="10"></td>
        </tr>
        <tr>
          <td width="100%" class="blue-txta">
</td>
        </tr>
        <tr>
          <td width="100%" height="30"></td>
        </tr>
        <tr>
          <td width="100%"></td>
        </tr>
      </table>
      </center>
    </div>
    </td>
  </tr>
  <tr>
    <td width="100%" class="row3">
    
<<language>>
<option value="$language_index"{$language_selected{ selected}}>$language_name
<</language>>
    
[[static_footer.html]]