diff --git a/public/config.json b/public/config.json
index 74a665c6ded..678e218070c 100644
--- a/public/config.json
+++ b/public/config.json
@@ -23,6 +23,6 @@
     "sample_format_external_result_import": "/External-Results-Template.csv",
     "enable_abdm": true,
     "enable_hcx": false,
-    "enable_scribe": true,
+    "enable_scribe": false,
     "min_encounter_date": "2020-01-01"
 }
\ No newline at end of file
diff --git a/src/Components/Patient/DailyRounds.tsx b/src/Components/Patient/DailyRounds.tsx
index 261f02263ed..38285e1fe5b 100644
--- a/src/Components/Patient/DailyRounds.tsx
+++ b/src/Components/Patient/DailyRounds.tsx
@@ -49,6 +49,9 @@ import SymptomsApi from "../Symptoms/api";
 import DiagnosesRoutes from "../Diagnosis/routes";
 import MedicineRoutes from "../Medicine/routes";
 import { scrollTo } from "../../Utils/utils";
+import useQuery from "../../Utils/request/useQuery";
+import { EncounterSymptom } from "../Symptoms/types";
+import _ from "lodash";
 
 const Loading = lazy(() => import("../Common/Loading"));
 
@@ -100,6 +103,12 @@ export const DailyRounds = (props: any) => {
     errors: { ...initError },
   };
 
+  const { data: additionalSymptoms, refetch: refetchAdditionalSymptoms } =
+    useQuery(SymptomsApi.list, {
+      pathParams: { consultationId },
+      query: { limit: 100 },
+    });
+
   const DailyRoundsFormReducer = (state = initialState, action: any) => {
     switch (action.type) {
       case "set_form": {
@@ -488,26 +497,57 @@ export const DailyRounds = (props: any) => {
       <div className="flex w-full justify-end md:m-4">
         <Scribe
           form={SCRIBE_FORMS.daily_round}
-          existingData={async () => {
-            const { data } = await request(SymptomsApi.list, {
-              pathParams: { consultationId },
-              query: { limit: 100 },
-            });
-            return state.form;
+          existingData={{
+            ...state.form,
+            additional_symptoms: additionalSymptoms?.results.filter(
+              (s) => s.clinical_impression_status !== "entered-in-error",
+            ),
           }}
           onFormUpdate={async (fields) => {
             // Symptoms
             let rounds_type = fields.rounds_type || state.form.rounds_type;
+            const existingSymptoms = additionalSymptoms?.results.filter(
+              (s) => s.clinical_impression_status !== "entered-in-error",
+            );
+
             if (fields.additional_symptoms) {
+              const coveredSymptoms: EncounterSymptom[] = [];
               for (const symptom of fields.additional_symptoms) {
-                const { res } = await request(SymptomsApi.add, {
-                  pathParams: { consultationId },
-                  body: {
-                    ...symptom,
-                  },
+                const existingSymptom = existingSymptoms?.find(
+                  (s) => s.symptom === symptom.symptom,
+                );
+                // Check if symptom is altered or added
+                if (!_.isEqual(symptom, existingSymptom)) {
+                  if (existingSymptom) {
+                    // symptom was altered
+                    await request(SymptomsApi.partialUpdate, {
+                      pathParams: { consultationId, external_id: symptom.id },
+                      body: _.pick(symptom, ["onset_date", "cure_date"]),
+                    });
+                  } else {
+                    // symptom does not exist, so must be added
+                    await request(SymptomsApi.add, {
+                      pathParams: { consultationId },
+                      body: {
+                        ...symptom,
+                      },
+                    });
+                  }
+                }
+                coveredSymptoms.push(symptom);
+              }
+              // check for deleted symptoms
+              const deletedSymptoms =
+                existingSymptoms?.filter(
+                  (s) => !coveredSymptoms.find((c) => c.symptom === s.symptom),
+                ) || [];
+              for (const symptom of deletedSymptoms) {
+                //symptom was deleted
+                await request(SymptomsApi.markAsEnteredInError, {
+                  pathParams: { consultationId, external_id: symptom.id },
                 });
-                if (res?.ok) setSymptomsSeed((s) => s + 1);
               }
+              setSymptomsSeed((s) => s + 1);
             }
 
             // ICD11 Diagnosis
@@ -676,6 +716,7 @@ export const DailyRounds = (props: any) => {
                   name: "symptoms_dirty",
                   value: true,
                 });
+                refetchAdditionalSymptoms();
               }}
             />
           </div>
diff --git a/src/Components/Scribe/Scribe.tsx b/src/Components/Scribe/Scribe.tsx
index 19e3e19d9a7..8e042f177d2 100644
--- a/src/Components/Scribe/Scribe.tsx
+++ b/src/Components/Scribe/Scribe.tsx
@@ -67,7 +67,6 @@ export const Scribe: React.FC<ScribeProps> = ({
   form,
   onFormUpdate,
   existingData,
-  context,
 }) => {
   const { enable_scribe } = useConfig();
   const [open, setOpen] = useState(false);
@@ -421,10 +420,10 @@ export const Scribe: React.FC<ScribeProps> = ({
         .join(" ");
     };
 
-    const getOptionText = (value: string | number): string => {
-      if (!options) return value.toString();
+    const getOptionText = (value: string | number | null): string => {
+      if (!options) return value?.toString() || "";
       const option = options.find((opt) => opt.id === value);
-      return option ? option.text : value.toString();
+      return option ? option.text : value?.toString() || "";
     };
 
     const renderPrimitive = (value: any): any => {