diff --git a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java
index 330a3ac..c977eac 100644
--- a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java
+++ b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java
@@ -131,6 +131,18 @@ public class PatientController {
         tcard.setPid(patient.getId());
         tcard.setFid(2);
 
+        param.clear();
+        param.put("pcid",pcase.getPcid());
+        List<LymsTcard> tLst=lymsTcardService.listByMap(param);
+        if(tLst.size()>0){
+            tcard.setId(tLst.get(0).getId());
+            tcard.setUpdatedby(pcase.getUpdatedby());
+            tcard.setUpdatedTime(new Date());
+        }else{
+            tcard.setCreatedby(patient.getCreatedby());
+            tcard.setCreatedtime(new Date());
+        }
+
         lymsTcardService.saveOrUpdate(tcard);
 
         baseResponse.setErrorcode(f==true?0:1);