diff --git a/netforce_clinic/layouts/clinic_menu.xml b/netforce_clinic/layouts/clinic_menu.xml
index 4f3b2e6..bc7f0d1 100644
--- a/netforce_clinic/layouts/clinic_menu.xml
+++ b/netforce_clinic/layouts/clinic_menu.xml
@@ -36,7 +36,7 @@
         <item string="Visits" action="clinic_visit"/>
         <item string="Visit Board" action="clinic_visit_board"/>
         <divider/>
-        <item string="New Visit" action="clinic_visit" action_options="mode=form"/>
+        <item string="New Tempolary Visit" action="clinic_visit" action_options="mode=form&amp;defaults.manual=true"/>
         <!--<item string="Make An Appointment" action="clinic_make_apt"/>-->
     </item>
     <item string="HD Cases" perm="clinic_hdcase">
diff --git a/netforce_clinic/layouts/clinic_patient_form.xml b/netforce_clinic/layouts/clinic_patient_form.xml
index 416342e..fabca02 100644
--- a/netforce_clinic/layouts/clinic_patient_form.xml
+++ b/netforce_clinic/layouts/clinic_patient_form.xml
@@ -16,6 +16,7 @@
     <field name="doctor_id" required="1"/>
     <field name="department_id" required="1"/>
     <field name="walkin"/>
+    <field name="vascular_acc"/>
     <field name="active" invisible="1"/>
     <tabs>
         <tab string="General">
@@ -39,11 +40,11 @@
                 <field name="phone"/>
                 <field name="weight"/>
                 <field name="height"/>
-                <field name="vascular_acc"/>
+                <!--<field name="vascular_acc"/>-->
                 <field name="company_id" invisible="1"/>
             </group>
         </tab>
-        <tab string="Health Information">
+        <tab string="Health Information" perm="clinic_patient_health">
             <field name="smoke"/>
             <field name="withdrawal"/>
             <field name="first_hemodialysis"/>
@@ -106,7 +107,7 @@
             <group span="4" columns="1">
             </group>
         </tab>
-        <tab string="Accounting">
+        <tab string="Accounting" perm="clinic_patient_account">
             <field name="partner_id" domain='[["is_patient","=","true"]]'/>
         </tab>
         <tab string="Dispose Info">
diff --git a/netforce_clinic/layouts/clinic_visit_form.xml b/netforce_clinic/layouts/clinic_visit_form.xml
index 240967e..a6c7967 100644
--- a/netforce_clinic/layouts/clinic_visit_form.xml
+++ b/netforce_clinic/layouts/clinic_visit_form.xml
@@ -30,6 +30,7 @@
         </tab>
         <tab string="Note">
             <field name="note" nolabel="1"/>
+            <field name="manual" help="XXX"/>
         </tab>
     </tabs>
     <foot>
diff --git a/netforce_clinic/models/patient.py b/netforce_clinic/models/patient.py
index aa86eb1..c2ac3c8 100644
--- a/netforce_clinic/models/patient.py
+++ b/netforce_clinic/models/patient.py
@@ -346,25 +346,22 @@ class Patient(Model):
             pt.delete()
         super().delete(ids)
 
+    def check_vals(self,vals):
+        return vals
+
     def write(self,ids,vals,**kw):
         if 'cycles' in vals.keys():
-            index=0
-            for cvals in vals['cycles']:
-                mode=cvals[0]
-                if mode=='delete':
-                    continue
-                elif mode=='create':
-                    cycle_vals=cvals[1]
-                elif mode=='write':
-                    continue
-                    cycle_vals=cvals[2]
-                cdom=[]
-                for f, v in cycle_vals.items():
-                    cdom.append([f,'=',v])
-                print('cdom ', cdom)
-                for c in get_model('clinic.patient.cycle').search_browse(cdom):
-                    c.delete()
-                index+=1
+            datenow=time.strftime("%Y-%m-%d")
+            vdom=[
+                ['patient_id','in',ids],
+                ['visit_date','>',datenow],
+                ['state','=','pending'],
+                ['manual','=',False],
+            ]
+            visit_ids=get_model("clinic.visit").search(vdom)
+            print('removing visit .. ', len(visit_ids))
+            get_model("clinic.visit").delete(visit_ids)
+
         if 'type_id' in vals.keys():
             #update patient in hd case which state is condition below
             for obj in self.browse(ids):
diff --git a/netforce_clinic/models/patient_cycle.py b/netforce_clinic/models/patient_cycle.py
index 0ed861e..85886df 100644
--- a/netforce_clinic/models/patient_cycle.py
+++ b/netforce_clinic/models/patient_cycle.py
@@ -20,7 +20,7 @@ class PatientCycle(Model):
         'department_id': _get_department,
     }
 
-    _sql_constraints=("pcycle_uniq","unique(patient_id,cycle_id,day,department_id)","patient_id,cycle_id,day,department_id should be unique"),
+    __sql_constraints=("pcycle_uniq","unique(patient_id,cycle_id,day,department_id)","patient_id,cycle_id,day,department_id should be unique"),
     _order="department_id,cycle_id"
 
 PatientCycle.register()
diff --git a/netforce_clinic/models/visit.py b/netforce_clinic/models/visit.py
index bbd49f4..eda35cb 100644
--- a/netforce_clinic/models/visit.py
+++ b/netforce_clinic/models/visit.py
@@ -52,6 +52,7 @@ class Visit(Model):
         'cycle_color': fields.Char('Color',function="_get_all",function_multi=True,store=True),
         'note': fields.Text('Note'),
         'branch_id': fields.Many2One("clinic.branch","Branch"),
+        'manual': fields.Boolean("Manual Tempolary Visit"),
     }
 
     def _get_number(self,context={}):
@@ -97,6 +98,7 @@ class Visit(Model):
         "number": "/",
         "company_id": lambda *a: get_active_company(),
         'nurse_id': _get_nurse,
+        'manual': False,
     }
 
     #_sql_constraints=("clinic_visit_key_uniq","unique(patient_id,visit_date,cycle_id,department_id)","Patient is already exist in this date"),
diff --git a/netforce_clinic/templates/visit_board.hbs b/netforce_clinic/templates/visit_board.hbs
index b4759d8..352f00e 100644
--- a/netforce_clinic/templates/visit_board.hbs
+++ b/netforce_clinic/templates/visit_board.hbs
@@ -37,9 +37,9 @@
                                     <span class="glyphicon glyphicon-arrow-right">&nbsp;{{number}}</span>
                                 {{else}}
                                     {{#ifeq number "Cancelled"}}
-                                        <span class="glyphicon glyphicon-thumbs-down">&nbsp;{{number}}</span>
+                                        <span class="glyphicon glyphicon-remove-sign">&nbsp;{{number}}</span>
                                     {{else}}
-                                        <span class="glyphicon glyphicon-thumbs-up">&nbsp;{{number}}</span>
+                                        <span class="glyphicon glyphicon-ok-sign">&nbsp;{{number}}</span>
                                     {{/ifeq}}
                                 {{/ifeq}}
                             </a>
@@ -65,15 +65,15 @@
                                         -->
                                     {{else}}
                                         {{#ifeq hd_case_state "waiting_treatment"}}
-                                            <span class="glyphicon glyphicon-arrow-right">
+                                        <span class="glyphicon glyphicon-arrow-right">
                                         {{else}}
                                             {{#ifeq hd_case_state "in_progress"}}
-                                                <span class="glyphicon glyphicon-refresh">
+                                            <span class="glyphicon glyphicon-refresh">
                                             {{else}}
                                                 {{#ifeq hd_case_state "cancelled"}}
-                                                    <span class="glyphicon glyphicon-remove">
+                                                <span class="glyphicon glyphicon-remove">
                                                 {{else}}
-                                                    <span class="glyphicon glyphicon-ok">
+                                                <span class="glyphicon glyphicon-ok-sign">
                                                 {{/ifeq}}
                                             {{/ifeq}}
                                         {{/ifeq}}