diff --git a/care/facility/api/serializers/patient.py b/care/facility/api/serializers/patient.py
index c4059c2577..721df68fbe 100644
--- a/care/facility/api/serializers/patient.py
+++ b/care/facility/api/serializers/patient.py
@@ -56,7 +56,7 @@
 
 
 class PatientMetaInfoSerializer(serializers.ModelSerializer):
-    occupation = ChoiceField(choices=PatientMetaInfo.OccupationChoices)
+    occupation = ChoiceField(choices=PatientMetaInfo.OccupationChoices, allow_null=True)
 
     class Meta:
         model = PatientMetaInfo
@@ -312,9 +312,8 @@ def create(self, validated_data):
                 Disease.objects.bulk_create(diseases, ignore_conflicts=True)
 
             if meta_info:
-                meta_info_obj = PatientMetaInfo.objects.create(**meta_info)
-                patient.meta_info = meta_info_obj
-                patient.save()
+                patient.meta_info = PatientMetaInfo.objects.create(**meta_info)
+                patient.meta_info.save()
 
             if contacted_patients:
                 contacted_patient_objs = [
@@ -361,8 +360,12 @@ def update(self, instance, validated_data):
                 Disease.objects.bulk_create(diseases, ignore_conflicts=True)
 
             if meta_info:
-                for key, value in meta_info.items():
-                    setattr(patient.meta_info, key, value)
+                if patient.meta_info is None:
+                   meta_info_obj = PatientMetaInfo.objects.create(**meta_info)
+                   patient.meta_info = meta_info_obj
+                else:
+                    for key, value in meta_info.items():
+                        setattr(patient.meta_info, key, value)
                 patient.meta_info.save()
 
             if self.partial is not True:  # clear the list and enter details if PUT
diff --git a/care/facility/migrations/0415_alter_patientmetainfo_head_of_household_and_more.py b/care/facility/migrations/0415_alter_patientmetainfo_head_of_household_and_more.py
new file mode 100644
index 0000000000..473d4c8ddb
--- /dev/null
+++ b/care/facility/migrations/0415_alter_patientmetainfo_head_of_household_and_more.py
@@ -0,0 +1,33 @@
+# Generated by Django 4.2.10 on 2024-02-20 13:26
+
+from django.db import migrations, models
+
+
+class Migration(migrations.Migration):
+    dependencies = [
+        ("facility", "0414_remove_bed_old_name"),
+    ]
+
+    operations = [
+        migrations.AlterField(
+            model_name="patientmetainfo",
+            name="head_of_household",
+            field=models.BooleanField(blank=True, null=True),
+        ),
+        migrations.AlterField(
+            model_name="patientmetainfo",
+            name="occupation",
+            field=models.IntegerField(
+                blank=True,
+                choices=[
+                    (1, "STUDENT"),
+                    (2, "BUSINESSMAN"),
+                    (3, "HEALTH_CARE_WORKER"),
+                    (4, "HEALTH_CARE_LAB_WORKER"),
+                    (5, "ANIMAL_HANDLER"),
+                    (6, "OTHERS"),
+                ],
+                null=True,
+            ),
+        ),
+    ]
diff --git a/care/facility/models/patient.py b/care/facility/models/patient.py
index b967a6e956..1c5408bebe 100644
--- a/care/facility/models/patient.py
+++ b/care/facility/models/patient.py
@@ -577,17 +577,16 @@ def format_diagnoses(diagnosis_ids):
 class PatientMetaInfo(models.Model):
     class OccupationEnum(enum.Enum):
         STUDENT = 1
-        MEDICAL_WORKER = 2
-        GOVT_EMPLOYEE = 3
-        PRIVATE_EMPLOYEE = 4
-        HOME_MAKER = 5
-        WORKING_ABROAD = 6
-        OTHERS = 7
+        BUSINESSMAN = 2
+        HEALTH_CARE_WORKER = 3
+        HEALTH_CARE_LAB_WORKER = 4
+        ANIMAL_HANDLER = 5
+        OTHERS = 6
 
     OccupationChoices = [(item.value, item.name) for item in OccupationEnum]
 
-    occupation = models.IntegerField(choices=OccupationChoices)
-    head_of_household = models.BooleanField()
+    occupation = models.IntegerField(choices=OccupationChoices, blank=True, null=True)
+    head_of_household = models.BooleanField(blank=True, null=True)
 
 
 class PatientContactDetails(models.Model):