diff --git a/care/facility/migrations/0402_patientconsultation_new_discharge_reason.py b/care/facility/migrations/0402_patientconsultation_new_discharge_reason.py
new file mode 100644
index 0000000000..37ad8d8991
--- /dev/null
+++ b/care/facility/migrations/0402_patientconsultation_new_discharge_reason.py
@@ -0,0 +1,28 @@
+# Generated by Django 4.2.6 on 2023-12-11 13:59
+
+from django.db import migrations, models
+
+
+class Migration(migrations.Migration):
+    dependencies = [
+        ("facility", "0401_merge_20231208_0054"),
+    ]
+
+    operations = [
+        migrations.AddField(
+            model_name="patientconsultation",
+            name="new_discharge_reason",
+            field=models.SmallIntegerField(
+                blank=True,
+                choices=[
+                    (-1, "UNKNOWN"),
+                    (1, "RECOVERED"),
+                    (2, "REFERRED"),
+                    (3, "EXPIRED"),
+                    (4, "LAMA"),
+                ],
+                default=None,
+                null=True,
+            ),
+        ),
+    ]
diff --git a/care/facility/models/patient_base.py b/care/facility/models/patient_base.py
index 0fd2d40eab..e47e461100 100644
--- a/care/facility/models/patient_base.py
+++ b/care/facility/models/patient_base.py
@@ -81,6 +81,17 @@ def reverse_choices(choices):
 ]
 
 
+class NewDiseaseReasonEnum(IntegerChoices):
+    UNKNOWN = -1, _("Unknown")
+    RECOVERED = 1, _("Recovered")
+    REFERRED = 2, _("Referred")
+    EXPIRED = 3, _("Expired")
+    LAMA = 4, _("LAMA")
+
+
+NEW_DISCHARGE_REASON_CHOICES = [(e.value, e.name) for e in NewDiseaseReasonEnum]
+
+
 class DiseaseStatusEnum(enum.IntEnum):
     SUSPECTED = 1
     POSITIVE = 2
diff --git a/care/facility/models/patient_consultation.py b/care/facility/models/patient_consultation.py
index b5e1bb02b1..451504cea9 100644
--- a/care/facility/models/patient_consultation.py
+++ b/care/facility/models/patient_consultation.py
@@ -15,6 +15,7 @@
 )
 from care.facility.models.patient_base import (
     DISCHARGE_REASON_CHOICES,
+    NEW_DISCHARGE_REASON_CHOICES,
     REVERSE_CATEGORY_CHOICES,
     REVERSE_COVID_CATEGORY_CHOICES,
     SYMPTOM_CHOICES,
@@ -136,6 +137,12 @@ class PatientConsultation(PatientBaseModel, ConsultationRelatedPermissionMixin):
         blank=True,
         null=True,
     )
+    new_discharge_reason = models.SmallIntegerField(
+        choices=NEW_DISCHARGE_REASON_CHOICES,
+        default=None,
+        blank=True,
+        null=True,
+    )
     discharge_notes = models.TextField(default="", null=True, blank=True)
     discharge_prescription = JSONField(
         default=dict, null=True, blank=True