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<title>Kit Anticlausura IPEN 2026 - Modal</title>
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<!-- Modal Overlay & Container -->
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<!-- Left Side: Value Proposition -->
<div class="w-full md:w-1/2 bg-[#fdfaf2] p-6 md:p-10 flex flex-col justify-center border-b md:border-b-0 md:border-r border-outline-variant relative overflow-hidden">
<!-- Subtle Top Alert Bar in Modal -->
<div class="absolute top-0 left-0 w-full text-on-error py-1.5 px-4 text-center font-label-caps text-label-caps flex items-center justify-center gap-2 bg-primary-container"><span class="material-symbols-outlined text-[16px] text-[#baef85]" data-icon="warning">warning</span> NORMA IR.001.2026 VIGENTE</div>
<div class="mt-8 space-y-6 relative z-10">
<div class="inline-flex items-center gap-2 bg-surface-container-lowest border border-outline-variant rounded-full px-3 py-1 font-label-caps text-label-caps text-on-surface-variant w-fit shadow-sm">
<span class="w-2 h-2 rounded-full bg-error"></span>
KIT GRATUITO PARA CLÍNICAS Y DENTALES
</div>
<h2 class="font-display-lg text-display-lg text-primary" id="modal-title">
¿Tu sala de Rayos X está a <span class="text-error">1 documento</span> de la clausura?
</h2>
<p class="font-body-lg text-body-lg text-on-surface-variant">
Descarga el <strong>Kit de 23 puntos del inspector</strong> y evita el cierre en 24h.
</p>
<div class="space-y-2"><div class="flex items-center gap-2 text-secondary font-headline-md text-[18px]"><span class="material-symbols-outlined text-[20px]">warning</span><h3 class="">3 errores que cierran tu sala en 24h</h3></div><ul class="space-y-1.5 pl-1"><li class="flex items-center gap-2 font-body-md text-on-surface-variant"><span class="w-1.5 h-1.5 rounded-full bg-secondary"></span>Sin Licencia de Operación IPEN</li><li class="flex items-center gap-2 font-body-md text-on-surface-variant"><span class="w-1.5 h-1.5 rounded-full bg-secondary"></span>Sin Dosimetría Personal Acreditada</li><li class="flex items-center gap-2 font-body-md text-on-surface-variant"><span class="w-1.5 h-1.5 rounded-full bg-secondary"></span>Sin Control de Calidad Anual OTAN</li></ul></div><div class="bg-surface-container-lowest p-4 rounded-lg border-l-4 shadow-sm mt-4 border-primary-container">
<p class="font-body-sm text-body-sm text-on-surface-variant">
<strong>IPEN ya clausuró en 2026:</strong> Hospital Base II Moquegua, Huaraz acta 19/02/2025. Multas 30-40 UIT. La excusa 'en trámite' ya no funciona.
</p>
</div>
<div class="flex flex-wrap gap-2 pt-2">
<span class="bg-primary text-on-primary font-status-badge text-status-badge px-2 py-1 rounded">Moquegua 25770-2025</span>
<span class="bg-primary-container text-on-primary font-status-badge text-status-badge px-2 py-1 rounded">Huaraz 19/02/2025</span>
</div>
</div>
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<div>
<p class="font-label-caps text-label-caps opacity-80">ACCESO INMEDIATO</p>
<h3 class="font-headline-md text-headline-md leading-tight">Kit Anticlausura IPEN 2026</h3>
</div>
<div class="bg-surface-container-lowest text-primary rounded-full w-10 h-10 flex items-center justify-center font-bold text-lg shadow-sm border border-outline-variant">
23
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<form class="space-y-4"><div class=""><label class="block font-label-caps text-label-caps text-on-surface mb-1" for="name">Nombre completo*</label><input class="w-full bg-surface border border-outline-variant rounded-DEFAULT px-3 py-2 font-body-md text-body-md text-on-surface focus:outline-none focus:border-primary focus:ring-1 focus:ring-primary transition-colors" id="name" name="name" placeholder="Ej: Dra. María Torres" required="" type="text"/></div><div class=""><label class="block font-label-caps text-label-caps text-on-surface mb-1" for="clinic">Clínica / Hospital*</label><input class="w-full bg-surface border border-outline-variant rounded-DEFAULT px-3 py-2 font-body-md text-body-md text-on-surface focus:outline-none focus:border-primary focus:ring-1 focus:ring-primary transition-colors" id="clinic" name="clinic" placeholder="Ej: Clínica San Pablo" required="" type="text"/></div><div class=""><label class="block font-label-caps text-label-caps text-on-surface mb-1" for="role">Cargo*</label><select class="w-full bg-surface border border-outline-variant rounded-DEFAULT px-3 py-2 font-body-md text-body-md text-on-surface focus:outline-none focus:border-primary focus:ring-1 focus:ring-primary transition-colors" id="role" name="role" required=""><option value="">Selecciona tu cargo</option><option value="director">Director Médico</option><option value="odontologo">Odontólogo</option><option value="administrador">Administrador</option></select></div><div class="flex gap-4"> <div class="w-1/2"><label class="block font-label-caps text-label-caps text-on-surface mb-1" for="whatsapp">WhatsApp*</label><input class="w-full bg-surface border border-outline-variant rounded-DEFAULT px-3 py-2 font-body-md text-body-md text-on-surface focus:outline-none focus:border-primary focus:ring-1 focus:ring-primary transition-colors" id="whatsapp" name="whatsapp" placeholder="+51 9 999 999 99" required="" type="tel"/></div><div class="w-1/2"><label class="block font-label-caps text-label-caps text-on-surface mb-1" for="city">Ciudad*</label><select class="w-full bg-surface border border-outline-variant rounded-DEFAULT px-3 py-2 font-body-md text-body-md text-on-surface focus:outline-none focus:border-primary focus:ring-1 focus:ring-primary transition-colors" id="city" name="city" required=""><option value="">Ciudad</option><option value="lima">Lima</option><option value="arequipa">Arequipa</option><option value="trujillo">Trujillo</option></select></div></div><div class=""><label class="block font-label-caps text-label-caps text-on-surface mb-1" for="email">Email*</label><input class="w-full bg-surface border border-outline-variant rounded-DEFAULT px-3 py-2 font-body-md text-body-md text-on-surface focus:outline-none focus:border-primary focus:ring-1 focus:ring-primary transition-colors" id="email" name="email" placeholder="director@clinica.pe" required="" type="email"/></div><div class="flex items-start gap-2 pt-2"><input class="mt-1 rounded border-outline-variant text-primary focus:ring-primary" id="terms" name="terms" required="" type="checkbox"/><label class="font-body-sm text-[11px] text-on-surface-variant" for="terms"><strong>Acepto recibir Kit y alertas IPEN*</strong> - Conforme a Ley 29733 protección de datos. No spam, solo alertas de fiscalización.</label></div><div class="pt-4"><button class="w-full hover:bg-primary-container text-on-primary font-bold py-4 px-6 rounded-DEFAULT shadow-[0px_4px_20px_rgba(1,45,29,0.15)] flex items-center justify-center gap-2 transition-all active:scale-95 group uppercase bg-primary-container" type="submit"><span class="material-symbols-outlined" data-icon="lock">lock</span> DESBLOQUEAR MI KIT DE 23 PUNTOS AHORA</button></div><p class="font-body-sm text-[11px] text-center text-on-surface-variant pt-2">Al desbloquear, tus datos se guardan de forma segura para enviarte el Kit + alertas IPEN. Ley 29733.</p><div class="flex justify-center items-center gap-4 pt-2 border-t border-outline-variant/50 mt-4"><div class="flex items-center gap-1 font-status-badge text-status-badge text-on-surface-variant"><span class="material-symbols-outlined text-[14px]" data-icon="check_circle">check_circle</span> 1,247 clínicas protegidas</div><div class="flex items-center gap-1 font-status-badge text-status-badge text-on-surface-variant"><span class="material-symbols-outlined text-[14px]" data-icon="check_circle">check_circle</span> Ley 29733 protección datos</div></div></form><div class="mt-6 p-4 bg-[#fdfaf2] border border-dashed border-outline-variant rounded-lg"><p class="font-body-sm text-[12px] text-on-surface-variant"><strong>¿Qué desbloqueas?</strong> Checklist 23 puntos del inspector + 4 bonus (formato respuesta acta, modelo oficio IPEN, checklist OPR, señalización). Página oculta con token único.</p></div>
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