diff --git a/src/entity/counter.ts b/src/entity/counter.ts
new file mode 100644
index 0000000..6eddb31
--- /dev/null
+++ b/src/entity/counter.ts
@@ -0,0 +1,29 @@
+import { Entity, PrimaryGeneratedColumn, Column, CreateDateColumn, UpdateDateColumn } from "typeorm";
+
+@Entity("counter")
+export class Counter {
+	@PrimaryGeneratedColumn("uuid")
+	id: string;
+
+	@Column({
+		nullable: false,
+		length: 128,
+		unique: true,
+		type: "varchar",
+	})
+	key: string;
+
+	@Column({
+		nullable: false,
+		type: "bigint",
+	})
+	value: string;
+
+	@Column()
+	@CreateDateColumn()
+	created_at: Date;
+
+	@Column({ nullable: true })
+	@UpdateDateColumn()
+	updated_at: Date;
+}
diff --git a/src/entity/emr/emr_patient.ts b/src/entity/emr/emr_patient.ts
index f9e0c9d..6742904 100644
--- a/src/entity/emr/emr_patient.ts
+++ b/src/entity/emr/emr_patient.ts
@@ -21,10 +21,10 @@ export class EmrPatient {
 	@Column({ nullable: true, length: 64 })
 	passport_number: string;
 
-	@Column({ nullable: false, length: 256 })
+	@Column({ nullable: true, length: 256 })
 	first_name: string;
 
-	@Column({ nullable: false, length: 256 })
+	@Column({ nullable: true, length: 256 })
 	last_name: string;
 
 	@Column({ nullable: true, length: 256 })
diff --git a/src/entity/emr/emr_registration.ts b/src/entity/emr/emr_registration.ts
index 6d8c7a6..d69a069 100644
--- a/src/entity/emr/emr_registration.ts
+++ b/src/entity/emr/emr_registration.ts
@@ -1,15 +1,4 @@
-import {
-    Entity,
-    PrimaryGeneratedColumn,
-    Column,
-    CreateDateColumn,
-    UpdateDateColumn,
-    DeleteDateColumn,
-    ManyToOne,
-    JoinColumn,
-    OneToOne,
-    ManyToMany
-} from "typeorm";
+import { Entity, PrimaryGeneratedColumn, Column, CreateDateColumn, UpdateDateColumn, DeleteDateColumn, ManyToOne, JoinColumn, OneToOne, ManyToMany } from "typeorm";
 
 import { RegistrationType } from "../../types/registration_type";
 import { RegistrationStatus } from "../../types/registration_status";
@@ -18,6 +7,7 @@ import { PatientGuarantor } from "../patient_guarantor";
 import { EmrRegistrationOutpatient } from "./emr_registration_outpatient";
 import { EmrRegistrationEmergency } from "./emr_registration_emergency";
 import { EmrRegistrationEmergencyResponsible } from "./emr_registration_emergency_responsible";
+import { RefferalHospital } from "../refferal_hospital";
 
 /**
  * Registrasi base: data umum untuk semua tipe (rawat jalan, rawat inap, emergency, hemodialysis).
@@ -26,75 +16,82 @@ import { EmrRegistrationEmergencyResponsible } from "./emr_registration_emergenc
  */
 @Entity("emr_registrations", { schema: "emr" })
 export class EmrRegistration {
-    @PrimaryGeneratedColumn("uuid")
-    id: string;
+	@PrimaryGeneratedColumn("uuid")
+	id: string;
 
-    @OneToOne(() => EmrRegistrationEmergencyResponsible, (emergency) => emergency.emrregistration)
-    emergency_responsible: EmrRegistrationEmergencyResponsible;
+	@OneToOne(() => EmrRegistrationEmergencyResponsible, (emergency) => emergency.emrregistration)
+	emergency_responsible: EmrRegistrationEmergencyResponsible;
 
-    @OneToOne(() => EmrRegistrationOutpatient, (out) => out.registration)
-    outpatient: EmrRegistrationOutpatient;
+	@OneToOne(() => EmrRegistrationOutpatient, (out) => out.registration)
+	outpatient: EmrRegistrationOutpatient;
 
-    @OneToOne(() => EmrRegistrationEmergency, (emergency) => emergency.registration)
-    emergency: EmrRegistrationEmergency;
+	@OneToOne(() => EmrRegistrationEmergency, (emergency) => emergency.registration)
+	emergency: EmrRegistrationEmergency;
 
-    @ManyToOne(() => EmrPatient, { onDelete: "NO ACTION" })
-    @JoinColumn()
-    patient: EmrPatient;
+	@ManyToOne(() => EmrPatient, { onDelete: "NO ACTION" })
+	@JoinColumn()
+	patient: EmrPatient;
 
-    @Column({ nullable: true, type: "text" })
-    cancellation_reason: string;
+	@Column({ nullable: true, type: "text" })
+	cancellation_reason: string;
 
-    @ManyToOne(() => PatientGuarantor, { onDelete: "NO ACTION" })
-    @JoinColumn()
-    guarantor: PatientGuarantor;
+	@ManyToOne(() => PatientGuarantor, { onDelete: "NO ACTION" })
+	@JoinColumn()
+	guarantor: PatientGuarantor;
 
-    @Column({
-        type: "varchar",
-        length: 32,
-        nullable: false,
-    })
-    registration_type: RegistrationType;
+	@Column({
+		type: "varchar",
+		length: 32,
+		nullable: false,
+	})
+	registration_type: RegistrationType;
 
-    @Column({ type: "date", nullable: false })
-    registration_date: Date;
+	@Column({ type: "date", nullable: false })
+	registration_date: Date;
 
-    @Column({ type: "text", nullable: true })
-    reason_notes: string;
+	@Column({ type: "text", nullable: true })
+	reason_notes: string;
 
-    @Column({ nullable: false, length: 32 })
-    status: RegistrationStatus;
+	@Column({ nullable: false, length: 32 })
+	status: RegistrationStatus;
 
-    @Column({ type: "date", nullable: true })
-    visit_date: Date;
+	@Column({ type: "date", nullable: true })
+	visit_date: Date;
 
-    @Column({ nullable: true, type: "text" })
-    fullname: string;
+	@Column({ nullable: true, type: "text" })
+	fullname: string;
 
-    @Column({ nullable: true, type: "date" })
-    birthdate: Date;
+	@Column({ nullable: true, type: "date" })
+	birthdate: Date;
 
-    @Column({ nullable: true, type: "text" })
-    idcard: string;
+	@Column({ nullable: true, type: "text" })
+	idcard: string;
 
-    @Column()
-    @CreateDateColumn()
-    created_at: Date;
+	@ManyToOne(() => RefferalHospital, { onDelete: "NO ACTION", nullable: true })
+	@JoinColumn({ name: "referral_hospital_id" })
+	referral_hospital: RefferalHospital;
 
-    @Column({ nullable: true, length: 256 })
-    created_by: string;
+	@Column({ nullable: true, type: "text" })
+	patient_category: string;
 
-    @Column({ nullable: true })
-    @UpdateDateColumn()
-    updated_at: Date;
+	@Column()
+	@CreateDateColumn()
+	created_at: Date;
 
-    @Column({ nullable: true, length: 256 })
-    updated_by: string;
+	@Column({ nullable: true, length: 256 })
+	created_by: string;
 
-    @Column({ nullable: true })
-    @DeleteDateColumn()
-    deleted_at: Date;
+	@Column({ nullable: true })
+	@UpdateDateColumn()
+	updated_at: Date;
 
-    @Column({ nullable: true, length: 256 })
-    deleted_by: string;
+	@Column({ nullable: true, length: 256 })
+	updated_by: string;
+
+	@Column({ nullable: true })
+	@DeleteDateColumn()
+	deleted_at: Date;
+
+	@Column({ nullable: true, length: 256 })
+	deleted_by: string;
 }
diff --git a/src/schema/emr.ts b/src/schema/emr.ts
index 69bdd49..d91ae38 100644
--- a/src/schema/emr.ts
+++ b/src/schema/emr.ts
@@ -51,4 +51,5 @@ export * from "../types/pharmacy_order_status";
 export * from "../types/prescription_pharmacy_status";
 export * from "../types/radiology_order_status";
 export * from "../types/laboratory_order_status";
-export * from "../enum/consciousness"
+export * from "../enum/consciousness";
+export * from "../types/patient_category";
diff --git a/src/schema/public.ts b/src/schema/public.ts
index 89fea2b..ccd022b 100644
--- a/src/schema/public.ts
+++ b/src/schema/public.ts
@@ -54,6 +54,7 @@ export * from "../entity/ward";
 export * from "../entity/responsible_party_consent";
 export * from "../entity/foster_care_history";
 export * from "../entity/notification";
+export * from "../entity/counter";
 
 export * from "../types/public";
 export * from "../types/action";
diff --git a/src/types/patient_category.ts b/src/types/patient_category.ts
new file mode 100644
index 0000000..3cec1e7
--- /dev/null
+++ b/src/types/patient_category.ts
@@ -0,0 +1,11 @@
+/**
+ * Workflow kategori pendaftaran pasien.
+ * Existing: pasien sudah lama daftar
+ * New: pasien baru dari pendaftaran pasien
+ * Foreigner: pasien asing
+ */
+export enum PatientCategory {
+	EXISTING = "existing",
+	NEW = "new",
+	FOREIGNER = "foreigner",
+}