diff --git a/healthcare/healthcare/doctype/patient_appointment/patient_appointment.js b/healthcare/healthcare/doctype/patient_appointment/patient_appointment.js
index a96c879bff..c07f650ba9 100644
--- a/healthcare/healthcare/doctype/patient_appointment/patient_appointment.js
+++ b/healthcare/healthcare/doctype/patient_appointment/patient_appointment.js
@@ -81,7 +81,7 @@ frappe.ui.form.on('Patient Appointment', {
 			}, __('View'));
 		}
 
-		if (["Open", "Checked In"].includes(frm.doc.status) || (frm.doc.status == 'Scheduled' && !frm.doc.__islocal)) {
+		if (["Open", "Checked In", "Confirmed"].includes(frm.doc.status) || (frm.doc.status == "Scheduled" && !frm.doc.__islocal)) {
 			frm.add_custom_button(__('Cancel'), function() {
 				update_status(frm, 'Cancelled');
 			});
@@ -115,10 +115,17 @@ frappe.ui.form.on('Patient Appointment', {
 			frm.add_custom_button(__('Vital Signs'), function() {
 				create_vital_signs(frm);
 			}, __('Create'));
+
+			if (["Open", "Scheduled"].includes(frm.doc.status)) {
+				frm.add_custom_button(__("Confirm"), function() {
+					frm.set_value("status", "Confirmed");
+					frm.save();
+				}, __("Status"));
+			}
 		}
 
-		if (!frm.doc.__islocal && frm.doc.status=="Open" && frm.doc.appointment_based_on_check_in) {
-			frm.add_custom_button(__('Check In'), () => {
+		if (!frm.doc.__islocal && ["Open", "Confirmed"].includes(frm.doc.status) && frm.doc.appointment_based_on_check_in) {
+			frm.add_custom_button(__("Check In"), () => {
 				frm.set_value("status", "Checked In");
 				frm.save();
 			});
diff --git a/healthcare/healthcare/doctype/patient_appointment/patient_appointment.json b/healthcare/healthcare/doctype/patient_appointment/patient_appointment.json
index 62cec722a6..573aaea0c6 100644
--- a/healthcare/healthcare/doctype/patient_appointment/patient_appointment.json
+++ b/healthcare/healthcare/doctype/patient_appointment/patient_appointment.json
@@ -106,7 +106,7 @@
    "in_filter": 1,
    "in_list_view": 1,
    "label": "Status",
-   "options": "\nScheduled\nOpen\nChecked In\nChecked Out\nClosed\nCancelled\nNo Show",
+   "options": "\nScheduled\nOpen\nConfirmed\nChecked In\nChecked Out\nClosed\nCancelled\nNo Show",
    "read_only": 1,
    "search_index": 1
   },
@@ -416,16 +416,16 @@
    "fieldtype": "Column Break"
   },
   {
-    "fieldname": "service_request",
-    "fieldtype": "Link",
-    "label": "Service Request",
-    "options": "Service Request",
-    "read_only": 1,
-    "search_index": 1
+   "fieldname": "service_request",
+   "fieldtype": "Link",
+   "label": "Service Request",
+   "options": "Service Request",
+   "read_only": 1,
+   "search_index": 1
   }
  ],
  "links": [],
- "modified": "2023-06-10 13:39:03.455568",
+ "modified": "2024-11-20 08:21:29.729408",
  "modified_by": "Administrator",
  "module": "Healthcare",
  "name": "Patient Appointment",
diff --git a/healthcare/healthcare/doctype/patient_appointment/patient_appointment.py b/healthcare/healthcare/doctype/patient_appointment/patient_appointment.py
index 3f1e72d9cc..ec88f776c6 100755
--- a/healthcare/healthcare/doctype/patient_appointment/patient_appointment.py
+++ b/healthcare/healthcare/doctype/patient_appointment/patient_appointment.py
@@ -76,15 +76,14 @@ def set_status(self):
 
 		# If appointment is created for today set status as Open else Scheduled
 		if appointment_date == today:
-			if self.status not in ["Checked In", "Checked Out"]:
+			if self.status not in ["Checked In", "Checked Out", "Open", "Confirmed"]:
 				self.status = "Open"
 
-		elif appointment_date > today:
+		elif appointment_date > today and self.status not in ["Scheduled", "Confirmed"]:
 			self.status = "Scheduled"
 
-		elif appointment_date < today:
-			if self.status == "Scheduled":
-				self.status = "No Show"
+		elif appointment_date < today and self.status != "No Show":
+			self.status = "No Show"
 
 	def validate_overlaps(self):
 		if self.appointment_based_on_check_in:
@@ -896,7 +895,7 @@ def get_prescribed_therapies(patient):
 def update_appointment_status():
 	# update the status of appointments daily
 	appointments = frappe.get_all(
-		"Patient Appointment", {"status": ("not in", ["Closed", "Cancelled"])}
+		"Patient Appointment", {"status": ("not in", ["Closed", "Cancelled", "Confirmed"])}
 	)
 
 	for appointment in appointments:
diff --git a/healthcare/healthcare/doctype/patient_appointment/patient_appointment_list.js b/healthcare/healthcare/doctype/patient_appointment/patient_appointment_list.js
index 0ae87f2060..7ba866a28f 100644
--- a/healthcare/healthcare/doctype/patient_appointment/patient_appointment_list.js
+++ b/healthcare/healthcare/doctype/patient_appointment/patient_appointment_list.js
@@ -1,7 +1,7 @@
 /*
 (c) ESS 2015-16
 */
-frappe.listview_settings['Patient Appointment'] = {
+frappe.listview_settings["Patient Appointment"] = {
 	filters: [["status", "=", "Open"]],
 	get_indicator: function(doc) {
 		var colors = {
@@ -11,7 +11,9 @@ frappe.listview_settings['Patient Appointment'] = {
 			"Cancelled": "red",
 			"Expired": "grey",
 			"Checked In": "blue",
-			"Checked Out": "orange"
+			"Checked Out": "orange",
+			"Confirmed": "green",
+			"No Show": "red"
 		};
 		return [__(doc.status), colors[doc.status], "status,=," + doc.status];
 	}