diff --git a/erpnext/healthcare/doctype/patient_appointment/test_patient_appointment.py b/erpnext/healthcare/doctype/patient_appointment/test_patient_appointment.py
index eeed157..f8b7f7f 100644
--- a/erpnext/healthcare/doctype/patient_appointment/test_patient_appointment.py
+++ b/erpnext/healthcare/doctype/patient_appointment/test_patient_appointment.py
@@ -148,6 +148,7 @@
 	item.item_name = 'Consulting Charges'
 	item.item_group = 'Services'
 	item.is_stock_item = 0
+	item.stock_uom = 'Nos'
 	item.save()
 	return item.name
 
diff --git a/erpnext/patches/v13_0/setup_patient_history_settings_for_standard_doctypes.py b/erpnext/patches/v13_0/setup_patient_history_settings_for_standard_doctypes.py
index 3332be0..de08aa2 100644
--- a/erpnext/patches/v13_0/setup_patient_history_settings_for_standard_doctypes.py
+++ b/erpnext/patches/v13_0/setup_patient_history_settings_for_standard_doctypes.py
@@ -3,7 +3,11 @@
 from erpnext.healthcare.setup import setup_patient_history_settings
 
 def execute():
-	if 'Healthcare' not in frappe.get_active_domains():
+	if "Healthcare" not in frappe.get_active_domains():
 		return
 
+	frappe.reload_doc("healthcare", "doctype", "Patient History Settings")
+	frappe.reload_doc("healthcare", "doctype", "Patient History Standard Document Type")
+	frappe.reload_doc("healthcare", "doctype", "Patient History Custom Document Type")
+
 	setup_patient_history_settings()
\ No newline at end of file