diff --git a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
index 2934a2f..1769fa5 100644
--- a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
+++ b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
@@ -2664,8 +2664,16 @@ namespace Shentun.Peis.PatientRegisters
                 {
                     var thirdBookingEnt = await _thirdBookingRepository.FirstOrDefaultAsync(f => f.PatientName == input.PatientName
                     && f.IdNo == input.IdNo
-                    && (f.Phone == input.MobileTelephone || f.Phone == input.Telephone));
-                    patientRegister.ThirdBookingId = thirdBookingEnt.Id.ToString();
+                    && (f.Phone == input.MobileTelephone || f.Phone == input.Telephone)
+                    && f.MedicalStatus != '3');
+                    if (thirdBookingEnt != null)
+                    {
+                        patientRegister.ThirdBookingId = thirdBookingEnt.Id.ToString();
+                    }
+                    else
+                    {
+                        throw new UserFriendlyException("该人员未预约，请先预约");
+                    }
                 }
             }