diff --git a/erpnext/healthcare/doctype/fee_validity/fee_validity.py b/erpnext/healthcare/doctype/fee_validity/fee_validity.py
index dcfc846..594d2b7 100644
--- a/erpnext/healthcare/doctype/fee_validity/fee_validity.py
+++ b/erpnext/healthcare/doctype/fee_validity/fee_validity.py
@@ -56,7 +56,9 @@
 
 	appointment_exists = frappe.db.get_all('Patient Appointment', {
 		'name': ('!=', appointment.name),
-		'status': ('!=', 'Cancelled')
+		'status': ('!=', 'Cancelled'),
+		'patient': appointment.patient,
+		'practitioner': appointment.practitioner
 	})
 	if len(appointment_exists) and appointment_exists[0]:
 		return False
diff --git a/erpnext/healthcare/doctype/fee_validity/fee_validity_list.js b/erpnext/healthcare/doctype/fee_validity/fee_validity_list.js
deleted file mode 100644
index e6a2e28..0000000
--- a/erpnext/healthcare/doctype/fee_validity/fee_validity_list.js
+++ /dev/null
@@ -1,10 +0,0 @@
-frappe.listview_settings['Fee Validity'] = {
-	get_indicator: function(doc) {
-		var colors = {
-			'Ongoing': 'orange',
-			'Completed': 'green',
-			'Expired': 'grey'
-		};
-		return [__(doc.status), colors[doc.status], 'status,=,' + doc.status];
-	}
-};
diff --git a/erpnext/healthcare/doctype/healthcare_settings/healthcare_settings.json b/erpnext/healthcare/doctype/healthcare_settings/healthcare_settings.json
index bbd9ae3..de08620 100644
--- a/erpnext/healthcare/doctype/healthcare_settings/healthcare_settings.json
+++ b/erpnext/healthcare/doctype/healthcare_settings/healthcare_settings.json
@@ -25,13 +25,6 @@
   "sb_in_ac",
   "income_account",
   "receivable_account",
-  "sb_lab_settings",
-  "create_lab_test_on_si_submit",
-  "create_sample_collection_for_lab_test",
-  "column_break_34",
-  "employee_name_and_designation_in_print",
-  "lab_test_approval_required",
-  "custom_signature_in_print",
   "out_patient_sms_alerts",
   "send_registration_msg",
   "registration_msg",
@@ -42,6 +35,13 @@
   "send_appointment_reminder",
   "appointment_reminder_msg",
   "remind_before",
+  "sb_lab_settings",
+  "create_lab_test_on_si_submit",
+  "create_sample_collection_for_lab_test",
+  "column_break_34",
+  "employee_name_and_designation_in_print",
+  "lab_test_approval_required",
+  "custom_signature_in_print",
   "laboratory_sms_alerts",
   "sms_printed",
   "column_break_28",
@@ -83,7 +83,7 @@
    "description": "Time period (Valid number of days) for free consultations",
    "fieldname": "valid_days",
    "fieldtype": "Int",
-   "label": "Valid number of days",
+   "label": "Valid Number of Days",
    "mandatory_depends_on": "eval:doc.enable_free_follow_ups == 1"
   },
   {
@@ -294,7 +294,7 @@
    "description": "The number of free follow ups (Patient Encounters in valid days) allowed",
    "fieldname": "max_visits",
    "fieldtype": "Int",
-   "label": "Number of Patient Encounters in valid days",
+   "label": "Number of Patient Encounters in Valid Days",
    "mandatory_depends_on": "eval:doc.enable_free_follow_ups == 1"
   },
   {
@@ -306,7 +306,7 @@
  ],
  "issingle": 1,
  "links": [],
- "modified": "2020-03-13 14:34:40.962503",
+ "modified": "2020-03-26 11:25:21.842092",
  "modified_by": "Administrator",
  "module": "Healthcare",
  "name": "Healthcare Settings",
diff --git a/erpnext/healthcare/doctype/lab_test/lab_test.py b/erpnext/healthcare/doctype/lab_test/lab_test.py
index d114ead..7028728 100644
--- a/erpnext/healthcare/doctype/lab_test/lab_test.py
+++ b/erpnext/healthcare/doctype/lab_test/lab_test.py
@@ -191,20 +191,21 @@
 		special.template = template.name
 
 def create_sample_doc(template, patient, invoice):
-	if(template.sample):
-		sample_exist = frappe.db.exists({
+	if template.sample:
+		sample_exists = frappe.db.exists({
 			"doctype": "Sample Collection",
 			"patient": patient.name,
 			"docstatus": 0,
-			"sample": template.sample})
-		if sample_exist :
-			#Update Sample Collection by adding quantity
-			sample_collection = frappe.get_doc("Sample Collection",sample_exist[0][0])
-			quantity = int(sample_collection.sample_quantity)+int(template.sample_quantity)
-			if(template.sample_collection_details):
-				sample_collection_details = sample_collection.sample_collection_details+"\n==============\n"+"Test :"+template.lab_test_name+"\n"+"Collection Detials:\n\t"+template.sample_collection_details
-				frappe.db.set_value("Sample Collection", sample_collection.name, "sample_collection_details",sample_collection_details)
-			frappe.db.set_value("Sample Collection", sample_collection.name, "sample_quantity",quantity)
+			"sample": template.sample
+		})
+		if sample_exists:
+			# update Sample Collection by adding quantity
+			sample_collection = frappe.get_doc("Sample Collection", sample_exists[0][0])
+			quantity = int(sample_collection.sample_qty)+int(template.sample_qty)
+			if(template.sample_details):
+				sample_details = sample_collection.sample_details+"\n==============\n"+"Test :" + (template.get("lab_test_name") or template.get("template")) +"\n"+"Collection Detials:\n\t"+template.sample_details
+				frappe.db.set_value("Sample Collection", sample_collection.name, "sample_details",sample_details)
+			frappe.db.set_value("Sample Collection", sample_collection.name, "sample_qty",quantity)
 
 		else:
 			#create Sample Collection for template, copy vals from Invoice
@@ -216,9 +217,9 @@
 			sample_collection.patient_sex = patient.sex
 			sample_collection.sample = template.sample
 			sample_collection.sample_uom = template.sample_uom
-			sample_collection.sample_quantity = template.sample_quantity
-			if(template.sample_collection_details):
-				sample_collection.sample_collection_details = "Test :"+template.lab_test_name+"\n"+"Collection Detials:\n\t"+template.sample_collection_details
+			sample_collection.sample_qty = template.sample_qty
+			if(template.sample_details):
+				sample_collection.sample_details = "Test :" + (template.get("lab_test_name") or template.get("template")) +"\n"+"Collection Detials:\n\t"+template.sample_details
 			sample_collection.save(ignore_permissions=True)
 
 		return sample_collection
diff --git a/erpnext/healthcare/doctype/lab_test_template/lab_test_template.json b/erpnext/healthcare/doctype/lab_test_template/lab_test_template.json
index e93f751..a606bc4 100644
--- a/erpnext/healthcare/doctype/lab_test_template/lab_test_template.json
+++ b/erpnext/healthcare/doctype/lab_test_template/lab_test_template.json
@@ -35,8 +35,8 @@
   "sb_sample_collection",
   "sample",
   "sample_uom",
-  "sample_quantity",
-  "sample_collection_details",
+  "sample_qty",
+  "sample_details",
   "change_in_item"
  ],
  "fields": [
@@ -212,18 +212,6 @@
   },
   {
    "default": "0",
-   "fieldname": "sample_quantity",
-   "fieldtype": "Float",
-   "label": "Quantity"
-  },
-  {
-   "fieldname": "sample_collection_details",
-   "fieldtype": "Text",
-   "ignore_xss_filter": 1,
-   "label": "Collection Details"
-  },
-  {
-   "default": "0",
    "fieldname": "change_in_item",
    "fieldtype": "Check",
    "hidden": 1,
@@ -237,10 +225,22 @@
    "fieldname": "disabled",
    "fieldtype": "Check",
    "label": "Disabled"
+  },
+  {
+   "default": "0",
+   "fieldname": "sample_qty",
+   "fieldtype": "Float",
+   "label": "Quantity"
+  },
+  {
+   "fieldname": "sample_details",
+   "fieldtype": "Text",
+   "ignore_xss_filter": 1,
+   "label": "Collection Details"
   }
  ],
  "links": [],
- "modified": "2020-03-23 19:43:11.606254",
+ "modified": "2020-03-25 16:53:01.740103",
  "modified_by": "Administrator",
  "module": "Healthcare",
  "name": "Lab Test Template",
diff --git a/erpnext/healthcare/doctype/patient_appointment/patient_appointment.py b/erpnext/healthcare/doctype/patient_appointment/patient_appointment.py
index b51d94f..16ab908 100755
--- a/erpnext/healthcare/doctype/patient_appointment/patient_appointment.py
+++ b/erpnext/healthcare/doctype/patient_appointment/patient_appointment.py
@@ -98,6 +98,8 @@
 			fee_validity = frappe.db.exists('Fee Validity', {'patient': patient, 'status': 'Pending'})
 			if fee_validity:
 				return {'fee_validity': fee_validity}
+			if check_is_new_patient(patient):
+				return False
 		return True
 	return False
 
@@ -107,9 +109,13 @@
 	enable_free_follow_ups = frappe.db.get_single_value('Healthcare Settings', 'enable_free_follow_ups')
 	if enable_free_follow_ups:
 		fee_validity = check_fee_validity(appointment_doc)
-		if not fee_validity:
+		if fee_validity.status == 'Completed':
+			fee_validity = None
+		elif not fee_validity:
 			if frappe.db.exists('Fee Validity Reference', {'appointment': appointment_doc.name}):
 				return
+			if check_is_new_patient(appointment_doc.patient, appointment_doc.name):
+				return
 	else:
 		fee_validity = None
 
@@ -137,6 +143,17 @@
 		frappe.db.set_value('Patient Appointment', appointment_doc.name, 'ref_sales_invoice', sales_invoice.name)
 
 
+def check_is_new_patient(patient, name=None):
+	filters = {'patient': patient, 'status': ('!=','Cancelled')}
+	if name:
+		filters['name'] = ('!=', name)
+
+	has_previous_appointment = frappe.db.exists('Patient Appointment', filters)
+	if has_previous_appointment:
+		return False
+	return True
+
+
 def get_appointment_item(appointment_doc, item):
 	service_item, practitioner_charge = get_service_item_and_practitioner_charge(appointment_doc)
 	item.item_code = service_item
diff --git a/erpnext/healthcare/doctype/sample_collection/sample_collection.json b/erpnext/healthcare/doctype/sample_collection/sample_collection.json
index 783fc3d..39cead8 100644
--- a/erpnext/healthcare/doctype/sample_collection/sample_collection.json
+++ b/erpnext/healthcare/doctype/sample_collection/sample_collection.json
@@ -1,687 +1,199 @@
 {
- "allow_copy": 1, 
- "allow_guest_to_view": 0, 
- "allow_import": 1, 
- "allow_rename": 0, 
- "autoname": "naming_series:", 
- "beta": 1, 
- "creation": "2016-04-05 15:58:18.076977", 
- "custom": 0, 
- "default_print_format": "", 
- "docstatus": 0, 
- "doctype": "DocType", 
- "document_type": "Document", 
- "editable_grid": 0, 
+ "actions": [],
+ "allow_copy": 1,
+ "allow_import": 1,
+ "autoname": "naming_series:",
+ "beta": 1,
+ "creation": "2016-04-05 15:58:18.076977",
+ "doctype": "DocType",
+ "document_type": "Document",
+ "engine": "InnoDB",
+ "field_order": [
+  "inpatient_record",
+  "naming_series",
+  "invoiced",
+  "patient",
+  "column_break_4",
+  "patient_age",
+  "patient_sex",
+  "company",
+  "section_break_6",
+  "sample",
+  "sample_uom",
+  "sample_qty",
+  "column_break_10",
+  "collected_by",
+  "collected_time",
+  "num_print",
+  "amended_from",
+  "section_break_15",
+  "sample_details"
+ ],
  "fields": [
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "fetch_from": "patient.inpatient_record", 
-   "fieldname": "inpatient_record", 
-   "fieldtype": "Link", 
-   "hidden": 0, 
-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
-   "in_list_view": 0, 
-   "in_standard_filter": 0, 
-   "label": "Inpatient Record", 
-   "length": 0, 
-   "no_copy": 0, 
-   "options": "Inpatient Record", 
-   "permlevel": 0, 
-   "precision": "", 
-   "print_hide": 0, 
-   "print_hide_if_no_value": 0, 
-   "read_only": 1, 
-   "remember_last_selected_value": 0, 
-   "report_hide": 0, 
-   "reqd": 0, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "fetch_from": "patient.inpatient_record",
+   "fieldname": "inpatient_record",
+   "fieldtype": "Link",
+   "label": "Inpatient Record",
+   "options": "Inpatient Record",
+   "read_only": 1
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 1, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "default": "", 
-   "fieldname": "naming_series", 
-   "fieldtype": "Select", 
-   "hidden": 0, 
-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
-   "in_list_view": 0, 
-   "in_standard_filter": 0, 
-   "label": "Series", 
-   "length": 0, 
-   "no_copy": 1, 
-   "options": "HLC-SC-.YYYY.-", 
-   "permlevel": 0, 
-   "precision": "", 
-   "print_hide": 1, 
-   "print_hide_if_no_value": 0, 
-   "read_only": 0, 
-   "remember_last_selected_value": 0, 
-   "report_hide": 0, 
-   "reqd": 1, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "bold": 1,
+   "fieldname": "naming_series",
+   "fieldtype": "Select",
+   "label": "Series",
+   "no_copy": 1,
+   "options": "HLC-SC-.YYYY.-",
+   "print_hide": 1,
+   "reqd": 1
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "fieldname": "invoiced", 
-   "fieldtype": "Check", 
-   "hidden": 0, 
-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
-   "in_list_view": 0, 
-   "in_standard_filter": 0, 
-   "label": "Invoiced", 
-   "length": 0, 
-   "no_copy": 1, 
-   "options": "", 
-   "permlevel": 0, 
-   "precision": "", 
-   "print_hide": 0, 
-   "print_hide_if_no_value": 0, 
-   "read_only": 1, 
-   "remember_last_selected_value": 0, 
-   "report_hide": 0, 
-   "reqd": 0, 
-   "search_index": 1, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "default": "0",
+   "fieldname": "invoiced",
+   "fieldtype": "Check",
+   "label": "Invoiced",
+   "no_copy": 1,
+   "read_only": 1,
+   "search_index": 1
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "fetch_from": "inpatient_record.patient", 
-   "fieldname": "patient", 
-   "fieldtype": "Link", 
-   "hidden": 0, 
-   "ignore_user_permissions": 1, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
-   "in_list_view": 0, 
-   "in_standard_filter": 1, 
-   "label": "Patient", 
-   "length": 0, 
-   "no_copy": 0, 
-   "options": "Patient", 
-   "permlevel": 0, 
-   "precision": "", 
-   "print_hide": 0, 
-   "print_hide_if_no_value": 0, 
-   "read_only": 0, 
-   "remember_last_selected_value": 0, 
-   "report_hide": 0, 
-   "reqd": 0, 
-   "search_index": 1, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "fetch_from": "inpatient_record.patient",
+   "fieldname": "patient",
+   "fieldtype": "Link",
+   "ignore_user_permissions": 1,
+   "in_standard_filter": 1,
+   "label": "Patient",
+   "options": "Patient",
+   "search_index": 1
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "fieldname": "column_break_4", 
-   "fieldtype": "Column Break", 
-   "hidden": 0, 
-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
-   "in_list_view": 0, 
-   "in_standard_filter": 0, 
-   "length": 0, 
-   "no_copy": 0, 
-   "permlevel": 0, 
-   "precision": "", 
-   "print_hide": 0, 
-   "print_hide_if_no_value": 0, 
-   "read_only": 0, 
-   "remember_last_selected_value": 0, 
-   "report_hide": 0, 
-   "reqd": 0, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "fieldname": "column_break_4",
+   "fieldtype": "Column Break"
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "fieldname": "patient_age", 
-   "fieldtype": "Data", 
-   "hidden": 0, 
-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
-   "in_list_view": 0, 
-   "in_standard_filter": 0, 
-   "label": "Age", 
-   "length": 0, 
-   "no_copy": 0, 
-   "options": "", 
-   "permlevel": 0, 
-   "precision": "", 
-   "print_hide": 0, 
-   "print_hide_if_no_value": 0, 
-   "read_only": 0, 
-   "remember_last_selected_value": 0, 
-   "report_hide": 0, 
-   "reqd": 0, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "fieldname": "patient_age",
+   "fieldtype": "Data",
+   "label": "Age"
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "fetch_from": "patient.sex", 
-   "fieldname": "patient_sex", 
-   "fieldtype": "Data", 
-   "hidden": 0, 
-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
-   "in_list_view": 0, 
-   "in_standard_filter": 0, 
-   "label": "Gender", 
-   "length": 0, 
-   "no_copy": 0, 
-   "options": "", 
-   "permlevel": 0, 
-   "precision": "", 
-   "print_hide": 0, 
-   "print_hide_if_no_value": 0, 
-   "read_only": 0, 
-   "remember_last_selected_value": 0, 
-   "report_hide": 0, 
-   "reqd": 0, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "fetch_from": "patient.sex",
+   "fieldname": "patient_sex",
+   "fieldtype": "Data",
+   "label": "Gender"
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "fieldname": "company", 
-   "fieldtype": "Link", 
-   "hidden": 1, 
-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
-   "in_list_view": 0, 
-   "in_standard_filter": 0, 
-   "label": "Company", 
-   "length": 0, 
-   "no_copy": 0, 
-   "options": "Company", 
-   "permlevel": 0, 
-   "precision": "", 
-   "print_hide": 1, 
-   "print_hide_if_no_value": 0, 
-   "read_only": 0, 
-   "remember_last_selected_value": 0, 
-   "report_hide": 1, 
-   "reqd": 0, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "fieldname": "company",
+   "fieldtype": "Link",
+   "hidden": 1,
+   "label": "Company",
+   "options": "Company",
+   "print_hide": 1,
+   "report_hide": 1
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "fieldname": "section_break_6", 
-   "fieldtype": "Section Break", 
-   "hidden": 0, 
-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
-   "in_list_view": 0, 
-   "in_standard_filter": 0, 
-   "length": 0, 
-   "no_copy": 0, 
-   "permlevel": 0, 
-   "precision": "", 
-   "print_hide": 0, 
-   "print_hide_if_no_value": 0, 
-   "read_only": 0, 
-   "remember_last_selected_value": 0, 
-   "report_hide": 0, 
-   "reqd": 0, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "fieldname": "section_break_6",
+   "fieldtype": "Section Break"
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
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-   "reqd": 1, 
-   "search_index": 1, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "fieldname": "sample",
+   "fieldtype": "Link",
+   "ignore_user_permissions": 1,
+   "in_list_view": 1,
+   "in_standard_filter": 1,
+   "label": "Sample",
+   "options": "Lab Test Sample",
+   "reqd": 1,
+   "search_index": 1
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "fetch_from": "sample.sample_uom", 
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-   "fieldtype": "Data", 
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-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
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-   "reqd": 0, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "fetch_from": "sample.sample_uom",
+   "fieldname": "sample_uom",
+   "fieldtype": "Data",
+   "in_list_view": 1,
+   "label": "UOM"
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "default": "0", 
-   "fieldname": "sample_quantity", 
-   "fieldtype": "Float", 
-   "hidden": 0, 
-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
-   "in_list_view": 1, 
-   "in_standard_filter": 0, 
-   "label": "Quantity", 
-   "length": 0, 
-   "no_copy": 0, 
-   "permlevel": 0, 
-   "precision": "", 
-   "print_hide": 0, 
-   "print_hide_if_no_value": 0, 
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-   "report_hide": 0, 
-   "reqd": 0, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "fieldname": "column_break_10",
+   "fieldtype": "Column Break"
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "fieldname": "column_break_10", 
-   "fieldtype": "Column Break", 
-   "hidden": 0, 
-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
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-   "print_hide_if_no_value": 0, 
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-   "remember_last_selected_value": 0, 
-   "report_hide": 0, 
-   "reqd": 0, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "fieldname": "collected_by",
+   "fieldtype": "Link",
+   "ignore_user_permissions": 1,
+   "label": "Collected By",
+   "options": "User"
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "fieldname": "collected_by", 
-   "fieldtype": "Link", 
-   "hidden": 0, 
-   "ignore_user_permissions": 1, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
-   "in_list_view": 0, 
-   "in_standard_filter": 0, 
-   "label": "Collected By", 
-   "length": 0, 
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-   "options": "User", 
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-   "precision": "", 
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-   "report_hide": 0, 
-   "reqd": 0, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "fieldname": "collected_time",
+   "fieldtype": "Datetime",
+   "label": "Collected Time"
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "fieldname": "collected_time", 
-   "fieldtype": "Datetime", 
-   "hidden": 0, 
-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
-   "in_list_view": 0, 
-   "in_standard_filter": 0, 
-   "label": "Collected Time", 
-   "length": 0, 
-   "no_copy": 0, 
-   "permlevel": 0, 
-   "precision": "", 
-   "print_hide": 0, 
-   "print_hide_if_no_value": 0, 
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-   "reqd": 0, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "allow_on_submit": 1,
+   "default": "1",
+   "fieldname": "num_print",
+   "fieldtype": "Int",
+   "label": "No. of print",
+   "print_hide": 1,
+   "report_hide": 1
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 1, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "default": "1", 
-   "fieldname": "num_print", 
-   "fieldtype": "Int", 
-   "hidden": 0, 
-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
-   "in_list_view": 0, 
-   "in_standard_filter": 0, 
-   "label": "No. of print", 
-   "length": 0, 
-   "no_copy": 0, 
-   "permlevel": 0, 
-   "precision": "", 
-   "print_hide": 1, 
-   "print_hide_if_no_value": 0, 
-   "read_only": 0, 
-   "remember_last_selected_value": 0, 
-   "report_hide": 1, 
-   "reqd": 0, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "fieldname": "amended_from",
+   "fieldtype": "Link",
+   "label": "Amended From",
+   "no_copy": 1,
+   "options": "Sample Collection",
+   "print_hide": 1,
+   "read_only": 1
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "fieldname": "amended_from", 
-   "fieldtype": "Link", 
-   "hidden": 0, 
-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
-   "in_list_view": 0, 
-   "in_standard_filter": 0, 
-   "label": "Amended From", 
-   "length": 0, 
-   "no_copy": 1, 
-   "options": "Sample Collection", 
-   "permlevel": 0, 
-   "print_hide": 1, 
-   "print_hide_if_no_value": 0, 
-   "read_only": 1, 
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-   "reqd": 0, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "fieldname": "section_break_15",
+   "fieldtype": "Section Break"
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "fieldname": "section_break_15", 
-   "fieldtype": "Section Break", 
-   "hidden": 0, 
-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 0, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
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-   "reqd": 0, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
-  }, 
+   "default": "0",
+   "fieldname": "sample_qty",
+   "fieldtype": "Float",
+   "in_list_view": 1,
+   "label": "Quantity"
+  },
   {
-   "allow_bulk_edit": 0, 
-   "allow_in_quick_entry": 0, 
-   "allow_on_submit": 0, 
-   "bold": 0, 
-   "collapsible": 0, 
-   "columns": 0, 
-   "fieldname": "sample_collection_details", 
-   "fieldtype": "Long Text", 
-   "hidden": 0, 
-   "ignore_user_permissions": 0, 
-   "ignore_xss_filter": 1, 
-   "in_filter": 0, 
-   "in_global_search": 0, 
-   "in_list_view": 0, 
-   "in_standard_filter": 0, 
-   "label": "Collection Details", 
-   "length": 0, 
-   "no_copy": 0, 
-   "permlevel": 0, 
-   "precision": "", 
-   "print_hide": 0, 
-   "print_hide_if_no_value": 0, 
-   "read_only": 0, 
-   "remember_last_selected_value": 0, 
-   "report_hide": 0, 
-   "reqd": 0, 
-   "search_index": 0, 
-   "set_only_once": 0, 
-   "translatable": 0, 
-   "unique": 0
+   "fieldname": "sample_details",
+   "fieldtype": "Long Text",
+   "ignore_xss_filter": 1,
+   "label": "Collection Details"
   }
- ], 
- "has_web_view": 0, 
- "hide_heading": 0, 
- "hide_toolbar": 0, 
- "idx": 0, 
- "image_view": 0, 
- "in_create": 0, 
- "is_submittable": 1, 
- "issingle": 0, 
- "istable": 0, 
- "max_attachments": 0, 
- "modified": "2018-08-21 14:44:39.128989", 
- "modified_by": "Administrator", 
- "module": "Healthcare", 
- "name": "Sample Collection", 
- "name_case": "", 
- "owner": "Administrator", 
+ ],
+ "is_submittable": 1,
+ "links": [],
+ "modified": "2020-03-25 16:55:52.376834",
+ "modified_by": "Administrator",
+ "module": "Healthcare",
+ "name": "Sample Collection",
+ "owner": "Administrator",
  "permissions": [
   {
-   "amend": 1, 
-   "cancel": 1, 
-   "create": 1, 
-   "delete": 0, 
-   "email": 1, 
-   "export": 1, 
-   "if_owner": 0, 
-   "import": 0, 
-   "permlevel": 0, 
-   "print": 1, 
-   "read": 1, 
-   "report": 1, 
-   "role": "Laboratory User", 
-   "set_user_permissions": 0, 
-   "share": 1, 
-   "submit": 1, 
+   "amend": 1,
+   "cancel": 1,
+   "create": 1,
+   "email": 1,
+   "export": 1,
+   "print": 1,
+   "read": 1,
+   "report": 1,
+   "role": "Laboratory User",
+   "share": 1,
+   "submit": 1,
    "write": 1
   }
- ], 
- "quick_entry": 0, 
- "read_only": 0, 
- "read_only_onload": 0, 
- "restrict_to_domain": "Healthcare", 
- "search_fields": "patient, sample", 
- "show_name_in_global_search": 1, 
- "sort_field": "modified", 
- "sort_order": "DESC", 
- "title_field": "patient", 
- "track_changes": 1, 
- "track_seen": 1, 
- "track_views": 0
-}
+ ],
+ "restrict_to_domain": "Healthcare",
+ "search_fields": "patient, sample",
+ "show_name_in_global_search": 1,
+ "sort_field": "modified",
+ "sort_order": "DESC",
+ "title_field": "patient",
+ "track_changes": 1,
+ "track_seen": 1
+}
\ No newline at end of file
diff --git a/erpnext/healthcare/utils.py b/erpnext/healthcare/utils.py
index 8e72a9f..42d37fe 100644
--- a/erpnext/healthcare/utils.py
+++ b/erpnext/healthcare/utils.py
@@ -348,6 +348,8 @@
 		if appointment.status == 'Cancelled' and fee_validity.visited > 0:
 			fee_validity.visited -= 1
 			frappe.db.delete('Fee Validity Reference', {'appointment': appointment.name})
+		elif fee_validity.status == 'Completed':
+			return
 		else:
 			fee_validity.visited += 1
 			fee_validity.append('ref_appointments', {