diff --git a/erpnext/healthcare/doctype/patient/patient.json b/erpnext/healthcare/doctype/patient/patient.json
index 1de4205..0136f72 100644
--- a/erpnext/healthcare/doctype/patient/patient.json
+++ b/erpnext/healthcare/doctype/patient/patient.json
@@ -347,7 +347,7 @@
  "icon": "fa fa-user",
  "image_field": "image",
  "max_attachments": 50,
- "modified": "2019-09-23 16:01:39.811633",
+ "modified": "2019-09-25 23:30:49.905893",
  "modified_by": "Administrator",
  "module": "Healthcare",
  "name": "Patient",
@@ -362,6 +362,18 @@
    "print": 1,
    "read": 1,
    "report": 1,
+   "role": "System Manager",
+   "share": 1,
+   "write": 1
+  },
+  {
+   "create": 1,
+   "delete": 1,
+   "email": 1,
+   "export": 1,
+   "print": 1,
+   "read": 1,
+   "report": 1,
    "role": "Physician",
    "share": 1,
    "write": 1