CVE-2023-41525

9.8 CRITICAL

📋 TL;DR

Hospital Management System v4 contains a SQL injection vulnerability in the patient_contact parameter of patientsearch.php. This allows attackers to execute arbitrary SQL commands on the database, potentially affecting all users of this software version.

💻 Affected Systems

Products:
  • Hospital Management System
Versions: Version 4
Operating Systems: Any OS running PHP and MySQL
Default Config Vulnerable: ⚠️ Yes
Notes: Affects all installations of v4 regardless of configuration. Requires PHP and MySQL backend.

📦 What is this software?

⚠️ Risk & Real-World Impact

🔴

Worst Case

Complete database compromise including patient records, admin credentials, and system takeover leading to data breach, ransomware deployment, or system destruction.

🟠

Likely Case

Unauthorized access to sensitive patient data (PHI/PII), privilege escalation, and potential data exfiltration.

🟢

If Mitigated

Limited impact with proper input validation and WAF rules blocking malicious SQL patterns.

🌐 Internet-Facing: HIGH - Web application accessible from internet with unauthenticated SQL injection.
🏢 Internal Only: HIGH - Even internal systems vulnerable to insider threats or compromised internal hosts.

🎯 Exploit Status

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

Simple SQL injection with public proof-of-concept available. No authentication required to exploit.

🛠️ Fix & Mitigation

✅ Official Fix

Patch Version: Unknown

Vendor Advisory: None known

Restart Required: No

Instructions:

1. Review the GitHub repository for updates
2. Apply parameterized queries to patientsearch.php
3. Implement input validation for patient_contact parameter
4. Test thoroughly before deployment

🔧 Temporary Workarounds

WAF Rule Implementation

all

Deploy web application firewall rules to block SQL injection patterns in patient_contact parameter

# Example ModSecurity rule:
SecRule ARGS:patient_contact "@detectSQLi" "id:1001,phase:2,deny,status:403,msg:'SQL Injection Attempt'"
# Example nginx rule:
location ~* patientsearch\.php { if ($args ~* "(?i)(union|select|insert|update|delete|drop|exec|--|#|\/\*|\*\/)") { return 403; } }

Input Validation Filter

linux

Add server-side validation to restrict patient_contact parameter to expected formats

# PHP validation example:
$patient_contact = filter_input(INPUT_GET, 'patient_contact', FILTER_SANITIZE_STRING);
if (!preg_match('/^[0-9\-\+\s\(\)]{7,15}$/', $patient_contact)) { die('Invalid contact format'); }

🧯 If You Can't Patch

  • Isolate the Hospital Management System behind a reverse proxy with strict input filtering
  • Disable or restrict access to patientsearch.php endpoint if not critical

🔍 How to Verify

Check if Vulnerable:

Test patientsearch.php with SQL injection payload: patientsearch.php?patient_contact=1' OR '1'='1

Check Version:

Check PHP files for version comments or review system documentation

Verify Fix Applied:

Test with same payload - should return error or no data, not execute SQL. Verify parameterized queries are implemented.

📡 Detection & Monitoring

Log Indicators:

  • Unusual SQL errors in application logs
  • Multiple failed login attempts after SQL injection
  • Unusual database queries from web server IP

Network Indicators:

  • HTTP requests with SQL keywords in patient_contact parameter
  • Unusual outbound database connections from web server

SIEM Query:

source="web_logs" AND (patient_contact="*' OR*" OR patient_contact="*UNION SELECT*" OR patient_contact="*;--*")

🔗 References

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