diff --git a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
index 1096399..f781ab7 100644
--- a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
+++ b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
@@ -131,6 +131,7 @@ namespace Shentun.Peis.PatientRegisters
         private readonly PatientPoisonManager _patientPoisonManager;
         private readonly IRepository<Diagnosis> _diagnosisRepository;
         private readonly ThirdBookingPushAppService _thirdBookingPushAppService;
+        private readonly IRepository<ThirdBooking, Guid> _thirdBookingRepository;
         public PatientRegisterAppService(
             IRepository<PatientRegister, Guid> repository,
             IRepository<Patient, Guid> patientRepository,
@@ -191,7 +192,8 @@ namespace Shentun.Peis.PatientRegisters
             IRepository<PatientPoison> patientPoisonRepository,
             PatientPoisonManager patientPoisonManager,
             IRepository<Diagnosis> diagnosisRepository,
-            ThirdBookingPushAppService thirdBookingPushAppService)
+            ThirdBookingPushAppService thirdBookingPushAppService,
+            IRepository<ThirdBooking, Guid> thirdBookingRepository)
             : base(repository)
         {
             this._repository = repository;
@@ -254,6 +256,7 @@ namespace Shentun.Peis.PatientRegisters
             _patientPoisonManager = patientPoisonManager;
             _diagnosisRepository = diagnosisRepository;
             _thirdBookingPushAppService = thirdBookingPushAppService;
+            _thirdBookingRepository = thirdBookingRepository;
         }
         /// <summary>
         /// 获取通过主键
@@ -2223,10 +2226,10 @@ namespace Shentun.Peis.PatientRegisters
                 {
                     _logger.LogError($"推送人寿完成体检=》{ex.Message}");
                 }
-               
+
             }
 
-           
+
             #endregion
             return ObjectMapper.Map<PatientRegister, PatientRegisterDto>(newentity);
         }
@@ -2659,7 +2662,10 @@ namespace Shentun.Peis.PatientRegisters
                 var customerOrgRegisterId = interfaceConfig.GetSection("Interface").GetSection("CustomerOrgRegisterId").Value;
                 if (customerOrgRegisterId == input.CustomerOrgRegisterId.ToString())
                 {
-                    patientRegister.ThirdBookingId = patientRegister.Id.ToString();
+                    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();
                 }
             }
 
diff --git a/src/Shentun.Peis.Application/ThirdBookingPushs/ThirdBookingPushAppService.cs b/src/Shentun.Peis.Application/ThirdBookingPushs/ThirdBookingPushAppService.cs
index b9a929d..dc7acfd 100644
--- a/src/Shentun.Peis.Application/ThirdBookingPushs/ThirdBookingPushAppService.cs
+++ b/src/Shentun.Peis.Application/ThirdBookingPushs/ThirdBookingPushAppService.cs
@@ -7,6 +7,7 @@ using Microsoft.Net.Http.Headers;
 using Newtonsoft.Json;
 using NPOI.HPSF;
 using NPOI.SS.Formula.Functions;
+using NPOI.Util;
 using Shentun.Peis.Enums;
 using Shentun.Peis.Models;
 using Shentun.Peis.PatientRegisters;
@@ -75,6 +76,7 @@ namespace Shentun.Peis.ThirdBookingPushs
                 var privateKey = interfaceConfig.GetSection("Interface").GetSection("MinZhongPrivateKey").Value;
                 var medicalYear = interfaceConfig.GetSection("Interface").GetSection("MedicalYear").Value;
                 var isActive = interfaceConfig.GetSection("Interface").GetSection("IsActive").Value;
+                //var customerOrgRegisterId = interfaceConfig.GetSection("Interface").GetSection("CustomerOrgRegisterId").Value;
                 var iCode = interfaceConfig.GetSection("Interface").GetSection("ICODE").Value;
                 if (!string.IsNullOrWhiteSpace(isActive)
                     && isActive == "Y")
diff --git a/src/Shentun.Peis.Application/ThirdBookings/ThirdBookingAppService.cs b/src/Shentun.Peis.Application/ThirdBookings/ThirdBookingAppService.cs
index a621c42..6dd51f0 100644
--- a/src/Shentun.Peis.Application/ThirdBookings/ThirdBookingAppService.cs
+++ b/src/Shentun.Peis.Application/ThirdBookings/ThirdBookingAppService.cs
@@ -130,26 +130,40 @@ namespace Shentun.Peis.ThirdBookings
             if (string.IsNullOrWhiteSpace(input.BookingDate))
                 throw new UserFriendlyException("日期不能为空");
 
-            var thirdBookingEnt = new ThirdBooking(GuidGenerator.Create())
+            if (!string.IsNullOrWhiteSpace(input.MaritalStatus)
+                && input.MaritalStatus != "0"
+                && input.MaritalStatus != "1")
+            {
+                throw new UserFriendlyException("婚姻状况格式不正确");
+            }
+
+            if (!string.IsNullOrWhiteSpace(input.EmpStatus)
+               && input.EmpStatus != "0"
+               && input.EmpStatus != "1")
             {
-                Age = input.Age,
-                BookingDate = Convert.ToDateTime(input.BookingDate),
-                ChildCompanyName = input.ChildCompanyName,
-                CustomerOrgGroupId = input.CustomerOrgGroupId,
-                DepartmentName = input.DepartmentName,
-                EmpStatus = input.EmpStatus,
-                ICode = "",
-                IdNo = input.IdNo,
-                IdType = "0",
-                MaritalStatus = input.MaritalStatus,
-                MedicalStatus = '0',
-                PatientName = input.PatientName,
-                Phone = input.Phone,
-                PositionName = input.PositionName,
-                SexName = input.SexName,
-                SourceChannel = "1",
-                ThirdMedicalCenterId = input.ThirdMedicalCenterId
-            };
+                throw new UserFriendlyException("是否在职格式不正确");
+            }
+
+            var thirdBookingEnt = new ThirdBooking(GuidGenerator.Create())
+                {
+                    Age = input.Age,
+                    BookingDate = Convert.ToDateTime(input.BookingDate),
+                    ChildCompanyName = input.ChildCompanyName,
+                    CustomerOrgGroupId = input.CustomerOrgGroupId,
+                    DepartmentName = input.DepartmentName,
+                    EmpStatus = input.EmpStatus,
+                    ICode = "",
+                    IdNo = input.IdNo,
+                    IdType = "0",
+                    MaritalStatus = input.MaritalStatus,
+                    MedicalStatus = '0',
+                    PatientName = input.PatientName,
+                    Phone = input.Phone,
+                    PositionName = input.PositionName,
+                    SexName = input.SexName,
+                    SourceChannel = "1",
+                    ThirdMedicalCenterId = input.ThirdMedicalCenterId
+                };
 
             await _thirdBookingRepository.InsertAsync(thirdBookingEnt);