CVE-2025-4021

6.3 MEDIUM

📋 TL;DR

CVE-2025-4021 is a critical SQL injection vulnerability in code-projects Patient Record Management System 1.0 that allows remote attackers to execute arbitrary SQL commands via the ID parameter in /edit_spatient.php. This affects all organizations using this specific software version, potentially exposing sensitive patient records and system data.

💻 Affected Systems

Products:
  • code-projects Patient Record Management System
Versions: 1.0
Operating Systems: Any OS running the web application
Default Config Vulnerable: ⚠️ Yes
Notes: Affects the specific file /edit_spatient.php with ID parameter manipulation. No authentication bypass mentioned, but SQL injection is present.

📦 What is this software?

⚠️ Risk & Real-World Impact

🔴

Worst Case

Complete database compromise leading to patient record theft, data destruction, and potential remote code execution on the database server.

🟠

Likely Case

Unauthorized access to patient records, extraction of sensitive data, and potential privilege escalation within the application.

🟢

If Mitigated

Limited impact due to proper input validation, parameterized queries, and network segmentation preventing database access.

🌐 Internet-Facing: HIGH - The vulnerability is remotely exploitable and affects a web application component.
🏢 Internal Only: MEDIUM - Internal attackers could exploit this to escalate privileges and access sensitive data.

🎯 Exploit Status

Public PoC: ⚠️ Yes
Weaponized: LIKELY
Unauthenticated Exploit: ✅ No
Complexity: LOW

Exploit details are publicly disclosed on GitHub, making exploitation straightforward for attackers with basic SQL injection knowledge.

🛠️ Fix & Mitigation

✅ Official Fix

Patch Version: Unknown

Vendor Advisory: https://code-projects.org/

Restart Required: No

Instructions:

No official patch available. Consider implementing workarounds or migrating to a different patient management system.

🔧 Temporary Workarounds

Input Validation and Sanitization

all

Implement strict input validation for the ID parameter to only accept expected formats (e.g., numeric values)

Modify /edit_spatient.php to validate ID parameter using regex: if (!preg_match('/^\d+$/', $_GET['ID'])) { die('Invalid input'); }

Parameterized Queries Implementation

all

Replace dynamic SQL queries with prepared statements using PDO or MySQLi

Replace: $query = "SELECT * FROM patients WHERE id = " . $_GET['ID']; with: $stmt = $pdo->prepare("SELECT * FROM patients WHERE id = ?"); $stmt->execute([$_GET['ID']]);

🧯 If You Can't Patch

  • Implement a Web Application Firewall (WAF) with SQL injection rules to block malicious requests
  • Restrict network access to the application using firewall rules and segment the database server

🔍 How to Verify

Check if Vulnerable:

Test the /edit_spatient.php endpoint with SQL injection payloads like: /edit_spatient.php?ID=1' OR '1'='1

Check Version:

Check application version in configuration files or about page

Verify Fix Applied:

Test with the same payloads after implementing fixes - should return error or no data instead of executing SQL

📡 Detection & Monitoring

Log Indicators:

  • Unusual SQL error messages in application logs
  • Multiple failed parameter validation attempts
  • Requests with SQL keywords in ID parameter

Network Indicators:

  • HTTP requests containing SQL injection patterns to /edit_spatient.php
  • Unusual database query patterns from application server

SIEM Query:

source="web_logs" AND uri="/edit_spatient.php" AND (query="*OR*" OR query="*UNION*" OR query="*SELECT*" OR query="*'*" OR query="*--*" OR query="*;*")

🔗 References

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