Kestrel
tcp/443
Open service 20.119.8.49:80 · payment.startbupe.com
2026-01-11 13:39
HTTP/1.1 301 Moved Permanently Content-Length: 0 Connection: close Date: Sun, 11 Jan 2026 13:40:58 GMT Location: https://payment.startbupe.com/
Open service 20.119.8.49:443 · payment.startbupe.com
2026-01-11 13:39
HTTP/1.1 200 OK
Connection: close
Content-Type: text/html; charset=utf-8
Date: Sun, 11 Jan 2026 13:41:00 GMT
Server: Kestrel
Cache-Control: no-cache, no-store
Pragma: no-cache
Set-Cookie: .AspNetCore.Antiforgery.RtGCWVXC8-4=CfDJ8My0QGpt-zhGicN8RgkWbqDy63XMmqm-uP_07zIAglXlZcnscTZrU40jAJWjS169ivtJ6KO02KIEvytyb1phORzbw0CuITiNgUkF6GbXtiA7Jdx5JUcx3fGChbb-hAOejKUv41jC5W_yLQ-z2uEfzBM; path=/; samesite=strict; httponly
Transfer-Encoding: chunked
Strict-Transport-Security: max-age=2592000
Request-Context: appId=cid-v1:3b99227a-a724-43e0-8e59-143d1f2756af
X-Frame-Options: SAMEORIGIN
Page title: StartBupe - Payment
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8"/>
<meta name="viewport" content="width=device-width, initial-scale=1.0"/>
<title>StartBupe - Payment</title>
<meta name="description" content="Securely manage your payments with Startbupe's payment portal.">
<link rel="stylesheet" href="/lib/bootstrap/dist/css/bootstrap.min.css" />
<link rel="stylesheet" href="/css/site.css" />
<link rel="stylesheet" href="/css/sq-payment.css" />
</head>
<body>
<header>
<nav class="navbar navbar-expand-sm navbar-toggleable-sm navbar-light bg-white border-bottom box-shadow mb-3">
<div class="container">
<a class="navbar-brand" href="/">StartBupe</a>
<button class="navbar-toggler" type="button" data-toggle="collapse" data-target=".navbar-collapse" aria-controls="navbarSupportedContent"
aria-expanded="false" aria-label="Toggle navigation">
<span class="navbar-toggler-icon"></span>
</button>
</div>
</nav>
</header>
<div class="container">
<main role="main" class="pb-3">
<div>
<h1>Pay with a Card</h1>
<form id="payment-form" novalidate action="/home/CreatePayment" method="post">
<h3> Patient Information</h3>
<div class="row">
<div class="form-group col-md-6">
<label for="FirstName">Patient First Name</label>
<input class="form-control text-box single-line" data-val="true" data-val-maxlength="Patient First Name must be 50 characters or less" data-val-maxlength-max="50" data-val-minlength="Patient First Name must be 50 characters or less" data-val-minlength-min="1" data-val-required="The Patient First Name field is required." id="FirstName" maxlength="50" name="FirstName" type="text" value="" />
<span class="text-danger field-validation-valid" data-valmsg-for="FirstName" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row">
<div class="form-group col-md-6">
<label for="LastName">Patient Last Name</label>
<input class="form-control text-box single-line" data-val="true" data-val-maxlength="Patient Last Name must be 50 characters or less" data-val-maxlength-max="50" data-val-minlength="Patient Last Name must be 50 characters or less" data-val-minlength-min="1" data-val-required="The Patient Last Name field is required." id="LastName" maxlength="50" name="LastName" type="text" value="" />
<span class="text-danger field-validation-valid" data-valmsg-for="LastName" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row">
<div class="form-group col-md-6">
<label for="PhoneNumber">Mobile Phone Number</label>
<input class="form-control text-box single-line" data-val="true" data-val-regex="Not a valid phone number" data-val-regex-pattern="^\(?([0-9]{3})\)?[-. ]?([0-9]{3})[-. ]?([0-9]{4})$" data-val-required="Phone number is required" id="PhoneNumber" name="PhoneNumber" type="tel" value="" />
<span class="text-danger field-validation-valid" data-valmsg-for="PhoneNumber" data-valmsg-replace="true"></span>
</div>
</div>
<h3>Payment Information</h3>
<div class="errors text-danger bg-danger">
</div>
<div class="form-group col-md-2 pl-0">
<label for="Amount">Pay Amount</label>
<input class="form-control text-box single-line" data-val="true" data-val-number="The field Pay Amount must be a number." data-val-required="The Pay Amount field is required." id="Amount" name="Amount" type="text" value="195.00" />
<span class="text-danger field-validation-valid" data-valmsg-for="Amount" data-valmsg-replace="true"></span>
</div>
<div id="card-container">
</div>
<div class="row">
<div class="form-group col-sm-4">
<button id="c