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Clinic Management System CVE-2026-115248

| EUVDEUVD-2026-108167 LOW
Improper Enforcement of Behavioral Workflow (CWE-841)
2026-10-22 VulDB GHSA-jmcj-6332-2wjp
2.1
CVSS 4.0 · Vendor: VulDB
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Attack ChainAIDerived

Hypothetical attack flow derived from CVE metadata – not a confirmed exploit chain

  1. Access
    Authenticate as low-privilege user
  2. Exploit
    Send crafted request to patappointtime.php
  3. Execution
    Bypass intended booking workflow enforcement
  4. Impact
    Manipulate appointment scheduling state

Vulnerability Assessment

Weakness
CWE
OWASP Top 10:2025
A06:2025 - Insecure Design
ASVS 5.0
V2 - Validation and Business Logic Workflow enforcement
Exploitation Conditions

Exploitation requires network access to an instance of the Online Clinic Management System and a low-privilege authenticated account (CVSS PR:L), directed at the patappointtime.php Booking Handler. No user interaction is required (UI:N) and attack complexity is low (AC:L). The specific mechanism by which the behavioral workflow is subverted is not described in the available sources beyond 'manipulation' of unknown processing in patappointtime.php. Limiting factors: an attacker must first hold valid credentials, the impact is confined to low integrity and availability effects on the booking workflow with no confidentiality exposure, and the affected software is a niche self-hosted project with very limited deployment.

Impact

This is a low-to-moderate severity issue (CVSS 4.0 base 5.3) in an obscure hobby-grade PHP project, and the signals point to low real-world priority rather than an emergency. The provided CVSS 4.0 vector (AV:N/AC:L/AT:N/PR:L/UI:N/VC:N/VI:L/VA:L) indicates a network-reachable, low-complexity flaw that requires some level of authentication (PR:L) and yields only low integrity and availability impact with no confidentiality impact (VC:N). The E:P exploit-maturity value corresponds to a proof-of-concept, consistent with the input noting a PoC reference that is not verified as working exploit code. No EPSS score and no CISA KEV status were provided, so there is no evidence of active or widespread exploitation; the vuln.today decision label is 'this_month', not act_now or emergency. CWE-841 (improper enforcement of behavioral workflow) and the described effect - abuse of the appointment booking workflow in patappointtime.php - align with the low integrity/availability impact rather than data theft. Note a conflict in the input metadata: the 'Information Disclosure' tag contradicts the CVSS impact profile (VC:N means no confidentiality/disclosure impact), so that tag appears mislabeled and should not drive prioritization. Overall this reads as a genuine but low-urgency finding affecting a product with negligible production footprint.

Exploit ScenarioDerived

An attacker with a low-privilege account on an exposed Online Clinic Management System instance sends crafted requests to the patappointtime.php booking handler to manipulate the appointment scheduling workflow - for example bypassing intended booking-time constraints or state checks. A public PoC reference exists (a GitHub issue report) but is not verified as working exploit code, and the described impact is limited to low integrity and availability effects on the booking function.

Monitor Track and reassess. Why: LOW severity (CVSS 0.1-3.9).
No patch listed yet 0.2% exploitation probability (EPSS)

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AnalysisAIv1 – Oct 22, 2026

Online Clinic Management System (subhajitkhan/online-clinic-management-system) fails to enforce its appointment-booking workflow correctly, allowing a low-privilege authenticated user to manipulate requests to the patappointtime.php Booking Handler and alter booking state. The project is a niche self-hosted PHP application, and the CVSS 4.0 base score of 5.3 reflects low integrity and availability impact confined to the booking workflow, with no confidentiality exposure. A public PoC reference exists in the form of an upstream GitHub issue; it is not verified as working exploit code, and there is no confirmed active exploitation. The vendor was notified early via an issue report but has not responded, and the fix is identified as commit e9ee77a8827a1446220fa07ee693dc4d9a29a578.

RemediationAI

Apply the upstream fix identified as commit e9ee77a8827a1446220fa07ee693dc4d9a29a578 from https://github.com/subhajitkhan/online-clinic-management-system/ and track https://github.com/subhajitkhan/online-clinic-management-system/issues/10 for vendor follow-up, since the project has not responded to the report and no tagged release version is confirmed as containing the fix. Because the commit hash is also cited as the last affected revision, verify the deployed snapshot actually contains the corrected patappointtime.php logic rather than assuming any checkout is patched. No vendor-published workaround is documented; the practical exposure limit is that the attack requires a valid low-privilege account, so keeping accounts restricted to trusted staff and limiting network reachability of the installation to internal users reduces the attack surface until the patched code is deployed. Patching status: upstream fix available (commit); released patched version not independently confirmed. No confirmed active exploitation was observed at time of analysis.

Affected VersionsENISA

online-clinic-management-system e9ee77a8827a1446220fa07ee693dc4d9a29a578

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Technical ContextAI · show details

The affected component is a PHP-based booking handler, patappointtime.php, inside a small open-source clinic management project; CWE-841 (Improper Enforcement of Behavioral Workflow) describes the root-cause class, meaning the application does not properly constrain the sequence or state transitions a user may submit to the booking endpoint. The CVSS 4.0 vector (AV:N/AC:L/AT:N/PR:L/UI:N/VC:N/VI:L/VA:L) maps to our assessed CVSS 3.1 vector of AV:N/AC:L/PR:L/UI:N/S:U/C:N/I:L/A:L: exploitation requires network reachability to an instance and a valid low-privilege account, needs no user interaction, and yields only low integrity and availability effects. Beyond 'manipulation' of unknown processing in patappointtime.php, the sources do not describe the specific trigger or the exact request sequence required, so the mechanism remains unverified. The CPE cpe:2.3:a:subhajitkhan:online-clinic-management-system:*:*:*:*:*:*:*:* indicates the whole project is treated as affected up to the referenced commit.

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  • Exploit and PoC references, threat intelligence from 22 sources

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Severity by source

Vendor (VulDB) PRIMARY 2.1 MEDIUM
CVSS:4.0/AV:N/AC:L/AT:N/PR:L/UI:N/VC:N/VI:L/VA:L/SC:N/SI:N/SA:N/E:P
vuln.today AI 5.4 MEDIUM

Network-reachable booking handler needing a low-privilege account (PR:L, AV:N, AC:L); workflow abuse yields low integrity and availability impact and no confidentiality impact (C:N).

3.1 AV:N/AC:L/PR:L/UI:N/S:U/C:N/I:L/A:L
4.0 AV:N/AC:L/AT:N/PR:L/UI:N/VC:N/VI:L/VA:L/SC:N/SI:N/SA:N

Primary rating from Vendor (VulDB).

CVSS VectorVendor: VulDB

Attack Vector
Network
Attack Complexity
Low
Attack Requirements
None
Privileges Required
Low
User Interaction
None
Vulnerable system: Confidentiality
None
Vulnerable system: Integrity
Low
Vulnerable system: Availability
Low
Subsequent system: Confidentiality
None
Subsequent system: Integrity
None
Subsequent system: Availability
None

Lifecycle Timeline

3
Severity Changed
Oct 22, 2026 - 14:22 NVD
MEDIUM LOW
CVSS changed
Oct 22, 2026 - 14:22 NVD
5.3 (MEDIUM) 2.1 (LOW)
CVE Published
Oct 22, 2026 - 13:30 cve.org
MEDIUM 5.3

DescriptionCVE.org

A vulnerability was detected in subhajitkhan online-clinic-management-system up to e9ee77a8827a1446220fa07ee693dc4d9a29a578. This issue affects some unknown processing of the file patappointtime.php of the component Booking Handler. The manipulation results in enforcement of behavioral workflow. It is possible to launch the attack remotely. The exploit is now public and may be used. The patch is identified as e9ee77a8827a1446220fa07ee693dc4d9a29a578. It is advisable to implement a patch to correct this issue. The project was informed of the problem early through an issue report but has not responded yet.

Threat Intelligence Overview

EPSS Score
0.2%
Top 85% exploitable
Prevalence
Rare
obscure individual GitHub project, no enterprise deployment footprint
Exploit
POC
Public exploit code exists
Social Media
1
Sightings
Data Quality
5 sources
Confidence: Medium

How this decision was reached

The engine reads each signal below and applies a fixed list of rules from top to bottom. The first rule that matches sets the recommended action – like a statement, every line is shown.

SignalValue
Severity LOW
CISA KEV No
Public POC Yes
EPSS 0.2%
Patch available No
Active threat No
Deciding rule
LOW severity (CVSS 0.1-3.9)
What every action level means
Emergency Immediate action required. Criteria: CRITICAL + in CISA KEV (actively exploited) without patch, OR CRITICAL + EPSS > 30% without patch, OR CRITICAL + active threat signals without patch.
Act Now Prioritize within 24-48h. Criteria: in KEV with patch available, OR CRITICAL + public POC, OR HIGH + EPSS > 10%, OR CRITICAL + active threat, OR any CRITICAL severity.
This Week Schedule remediation this week. Criteria: HIGH severity (CVSS 7.0-8.9). Patch within normal change window.
This Month Plan within 30 days. Criteria: MEDIUM severity (CVSS 4.0-6.9), lower exploitation probability. Include in regular patch cycle.
Monitor Track and reassess. Criteria: LOW severity (CVSS 0.1-3.9), minimal exploitation risk. No immediate action needed.

SSVC AssessmentENISA

SSVC Decision· derived
Scheduled
Exploitation· derived
Poc
System Exposure· derived
Open
Automatable· derived
No
Human Impact· derived
Low

Priority Score

30
Low Medium High Critical
KEV: 0
EPSS: 0
CVSS: +10
PoC: +20
Weaponized: 0
Threat intel: 0
Gov advisory: 0

Attack Technique

Information disclosure occurs when an application unintentionally exposes sensitive data that aids attackers in reconnaissance or directly compromises security.

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