diff --git a/xinelu-familydoctor/src/main/java/com/xinelu/familydoctor/applet/service/impl/PatientInfoServiceImpl.java b/xinelu-familydoctor/src/main/java/com/xinelu/familydoctor/applet/service/impl/PatientInfoServiceImpl.java
index e6c8328..b28b943 100644
--- a/xinelu-familydoctor/src/main/java/com/xinelu/familydoctor/applet/service/impl/PatientInfoServiceImpl.java
+++ b/xinelu-familydoctor/src/main/java/com/xinelu/familydoctor/applet/service/impl/PatientInfoServiceImpl.java
@@ -18,6 +18,7 @@ import com.xinelu.familydoctor.applet.pojo.body.PatientInfoBody;
 import com.xinelu.familydoctor.applet.pojo.entity.PatientInfo;
 import com.xinelu.familydoctor.applet.service.IPatientInfoService;
 import lombok.extern.slf4j.Slf4j;
+import org.apache.commons.lang3.ObjectUtils;
 import org.apache.commons.lang3.StringUtils;
 import org.springframework.beans.factory.annotation.Value;
 import org.springframework.stereotype.Service;
@@ -167,32 +168,33 @@ public class PatientInfoServiceImpl implements IPatientInfoService {
     public void register(PatientInfoBody body) {
         // 获取当前微信绑定的居民
         List<PatientInfo> list = patientInfoMapper.getList(body.getOpenid(), body.getCityCode());
-
-        PatientInfo patientInfo = patientInfoMapper.isRegisterByCardNo(body.getCardNo());
-        if (patientInfo == null) {
-            PatientInfo entity = new PatientInfo();
-            BeanUtils.copyBeanProp(entity, body);
-            entity.setPatientCode(IdUtils.fastSimpleUUID());
-            entity.setBindingTime(new Date());
-            entity.setIsChecked((list == null || list.size() == 0) ? "1" : "0");
-            entity.setCreateTime(new Date());
-            entity.setCreateBy(body.getCardNo());
-            patientInfoMapper.insertPatientInfo(entity);
-        } else {
-            if (!StringUtils.isBlank(patientInfo.getOpenid())) {
-                throw new ServiceException("该身份证号已被注册");
+        if (ObjectUtils.isNotEmpty(body.getCardNo())) {
+            PatientInfo patientInfo = patientInfoMapper.isRegisterByCardNo(body.getCardNo());
+            if (patientInfo == null) {
+                PatientInfo entity = new PatientInfo();
+                BeanUtils.copyBeanProp(entity, body);
+                entity.setPatientCode(IdUtils.fastSimpleUUID());
+                entity.setBindingTime(new Date());
+                entity.setIsChecked((list == null || list.size() == 0) ? "1" : "0");
+                entity.setCreateTime(new Date());
+                entity.setCreateBy(body.getCardNo());
+                patientInfoMapper.insertPatientInfo(entity);
+            } else {
+                if (!StringUtils.isBlank(patientInfo.getOpenid())) {
+                    throw new ServiceException("该身份证号已被注册");
+                }
+                patientInfo.setIsChecked((list == null || list.size() == 0) ? "1" : "0");
+                patientInfo.setOpenid(body.getOpenid());
+                patientInfo.setUnionid(body.getUnionid());
+                patientInfo.setPatientName(body.getPatientName());
+                patientInfo.setPhone(body.getPhone());
+                patientInfo.setAddress(body.getAddress());
+                patientInfo.setUpdateTime(new Date());
+                patientInfo.setUpdateBy(body.getCardNo());
+                patientInfo.setHeadPictureUrl(body.getHeadPictureUrl());
+                patientInfo.setDelFlag(0);
+                patientInfoMapper.updatePatientInfo(patientInfo);
             }
-            patientInfo.setIsChecked((list == null || list.size() == 0) ? "1" : "0");
-            patientInfo.setOpenid(body.getOpenid());
-            patientInfo.setUnionid(body.getUnionid());
-            patientInfo.setPatientName(body.getPatientName());
-            patientInfo.setPhone(body.getPhone());
-            patientInfo.setAddress(body.getAddress());
-            patientInfo.setUpdateTime(new Date());
-            patientInfo.setUpdateBy(body.getCardNo());
-            patientInfo.setHeadPictureUrl(body.getHeadPictureUrl());
-            patientInfo.setDelFlag(0);
-            patientInfoMapper.updatePatientInfo(patientInfo);
         }
     }