CVE-2020-22168

7.5 HIGH

📋 TL;DR

CVE-2020-22168 is a SQL injection vulnerability in PHPGurukul Hospital Management System v4.0 that allows remote unauthenticated attackers to execute arbitrary SQL commands. This can lead to unauthorized access to sensitive database information including patient records, user credentials, and system data. Any organization using the vulnerable version of this healthcare management software is affected.

💻 Affected Systems

Products:
  • PHPGurukul Hospital Management System
Versions: Version 4.0
Operating Systems: Any OS running PHP
Default Config Vulnerable: ⚠️ Yes
Notes: The vulnerability exists in the change-emaild.php file and affects default installations.

📦 What is this software?

⚠️ Risk & Real-World Impact

🔴

Worst Case

Complete database compromise leading to theft of all patient medical records, financial data, and administrative credentials, potentially resulting in data breach notifications, regulatory fines, and complete system takeover.

🟠

Likely Case

Extraction of sensitive patient information and user credentials, enabling further system access and potential data exfiltration.

🟢

If Mitigated

Limited or no data exposure if proper input validation and parameterized queries are implemented.

🌐 Internet-Facing: HIGH
🏢 Internal Only: MEDIUM

🎯 Exploit Status

Public PoC: ⚠️ Yes
Weaponized: LIKELY
Unauthenticated Exploit: ⚠️ Yes
Complexity: LOW

Public exploit code is available on GitHub, making exploitation straightforward for attackers.

🛠️ Fix & Mitigation

✅ Official Fix

Patch Version: Unknown

Vendor Advisory: http://phpgurukul.com

Restart Required: No

Instructions:

No official patch available. Consider upgrading to a newer version if available, or implement manual fixes as described in workarounds.

🔧 Temporary Workarounds

Input Validation and Parameterized Queries

all

Modify change-emaild.php to implement proper input validation and use prepared statements with parameterized queries.

Edit hms/change-emaild.php to replace raw SQL queries with PDO or mysqli prepared statements

WAF Rule Implementation

all

Deploy web application firewall rules to block SQL injection patterns targeting the vulnerable endpoint.

Add WAF rule: deny requests to /hms/change-emaild.php with SQL injection patterns in parameters

🧯 If You Can't Patch

  • Restrict network access to the Hospital Management System to trusted IP addresses only
  • Implement database monitoring to detect unusual SQL query patterns and unauthorized access attempts

🔍 How to Verify

Check if Vulnerable:

Check if the file hms/change-emaild.php exists and contains unsanitized user input in SQL queries. Test with SQL injection payloads in email parameter.

Check Version:

Check the system version in the application interface or configuration files. Look for version 4.0 indicators.

Verify Fix Applied:

Verify that change-emaild.php now uses parameterized queries and properly validates all user inputs. Test with SQL injection payloads to confirm they are blocked.

📡 Detection & Monitoring

Log Indicators:

  • Unusual SQL error messages in application logs
  • Multiple failed login attempts or SQL injection patterns in access logs
  • Unexpected database queries from the application server

Network Indicators:

  • HTTP requests to /hms/change-emaild.php containing SQL keywords (UNION, SELECT, etc.)
  • Unusual database traffic patterns from the web server

SIEM Query:

source="web_logs" AND uri="/hms/change-emaild.php" AND (payload CONTAINS "UNION" OR payload CONTAINS "SELECT" OR payload CONTAINS "OR 1=1")

🔗 References

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