diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/RefundItemDto.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/RefundItemDto.java
index 158f1859..ade0312b 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/RefundItemDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/RefundItemDto.java
@@ -81,5 +81,11 @@ public class RefundItemDto {
 
     /** 项目名 */
     private String itemName;
+    
+    /** 费用支付方式编码 */
+    private String medfeePaymtdCode;
+    
+    /** 费用类型 */
+    private String feeType;
 
 }
diff --git a/openhis-ui-vue3/src/views/charge/clinicrefund/components/refundDialog.vue b/openhis-ui-vue3/src/views/charge/clinicrefund/components/refundDialog.vue
index 1501814f..99df6c5a 100644
--- a/openhis-ui-vue3/src/views/charge/clinicrefund/components/refundDialog.vue
+++ b/openhis-ui-vue3/src/views/charge/clinicrefund/components/refundDialog.vue
@@ -11,7 +11,7 @@
       <el-text size="large" style="display: block; margin-bottom: 15px">
         退费日期：{{ currentDate }}
       </el-text>
-      <el-text size="large">费用性质：{{ '自费' }}</el-text>
+      <el-text size="large">费用性质：{{ getFeeTypeText }}</el-text>
       <div class="amount-row">
         <el-text size="large">应退金额：</el-text>
         <el-text size="large" type="primary" class="amount">
@@ -160,6 +160,14 @@ const props = defineProps({
     type: Object,
     default: undefined,
   },
+  medfee_paymtd_code: {
+    type: Array,
+    default: () => [],
+  },
+  feeType: {
+    type: String,
+    default: '',
+  },
 });
 
 const { proxy } = getCurrentInstance();
@@ -324,6 +332,23 @@ const returnedAmount = computed(() => {
 function close() {
   emit('close');
 }
+
+// 获取费用性质文本
+const getFeeTypeText = computed(() => {
+  if (!props.medfee_paymtd_code || !Array.isArray(props.medfee_paymtd_code)) {
+    return '自费';
+  }
+  // 如果有feeType，根据feeType查找对应的文本
+  if (props.feeType) {
+    const dict = props.medfee_paymtd_code.find(item => item.value === props.feeType);
+    return dict ? dict.label : '自费';
+  }
+  // 如果只有一个选项，直接返回第一个选项的文本
+  if (props.medfee_paymtd_code.length === 1) {
+    return props.medfee_paymtd_code[0].label || '自费';
+  }
+  return '自费';
+});
 </script>
 
 <style lang="scss" scoped>
diff --git a/openhis-ui-vue3/src/views/charge/clinicrefund/index.vue b/openhis-ui-vue3/src/views/charge/clinicrefund/index.vue
index 61556b13..5420c66d 100644
--- a/openhis-ui-vue3/src/views/charge/clinicrefund/index.vue
+++ b/openhis-ui-vue3/src/views/charge/clinicrefund/index.vue
@@ -178,6 +178,8 @@
       :paymentId="paymentId"
       :chargeItemIds="chargeItemIdList"
       :details="details"
+      :medfee_paymtd_code="medfee_paymtd_code"
+      :feeType="patientInfo.medfeePaymtdCode"
     />
   </div>
 </template>
@@ -197,6 +199,8 @@ import RefundDialog from './components/refundDialog.vue';
 import Decimal from 'decimal.js';
 
 const { proxy } = getCurrentInstance();
+// 获取费用性质字典
+const { medfee_paymtd_code } = proxy.useDict('medfee_paymtd_code');
 const queryParams = ref({
   pageNum: 1,
   pageSize: 50,
diff --git a/openhis-ui-vue3/src/views/charge/outpatientregistration/components/refundDialog.vue b/openhis-ui-vue3/src/views/charge/outpatientregistration/components/refundDialog.vue
index d77859f1..cbf31e61 100644
--- a/openhis-ui-vue3/src/views/charge/outpatientregistration/components/refundDialog.vue
+++ b/openhis-ui-vue3/src/views/charge/outpatientregistration/components/refundDialog.vue
@@ -114,19 +114,18 @@ import { Delete } from '@element-plus/icons-vue';
 
 // 获取费用性质文本
 const getFeeTypeText = computed(() => {
-  if (!props.medfee_paymtd_code || !Array.isArray(props.medfee_paymtd_code)) {
-    return '自费';
+  // 优先使用从挂号记录传递过来的费用性质名称
+  if (props.contractName) {
+    return props.contractName;
   }
-  // 如果有feeType，根据feeType查找对应的文本
-  if (props.feeType) {
-    const dict = props.medfee_paymtd_code.find(item => item.value === props.feeType);
-    return dict ? dict.label : '自费';
+  
+  // 如果没有传递名称，则根据费用性质代码查找
+  if (props.feeType && props.medfee_paymtd_code && Array.isArray(props.medfee_paymtd_code)) {
+    const dictItem = props.medfee_paymtd_code.find(item => item.value === props.feeType);
+    return dictItem ? dictItem.label : '自费';
   }
-  // 如果只有一个选项，直接返回第一个选项的文本
-  if (props.medfee_paymtd_code.length === 1) {
-    return props.medfee_paymtd_code[0].label || '自费';
-  }
-  return '自费';
+  
+  return '自费'; // 默认值
 });
 
 const props = defineProps({
@@ -159,6 +158,10 @@ const props = defineProps({
   feeType: {
     type: String,
     default: '',
+  },
+  contractName: {
+    type: String,
+    default: '', // 新增：接收费用性质名称
   }
 });
 
diff --git a/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue b/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
index aabfe5d1..70df43ac 100644
--- a/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
+++ b/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
@@ -572,7 +572,8 @@
       :patientInfo="patientInfo"
       :paymentId="paymentId"
       :chargeItemIds="chargeItemIdList"
-      :feeType="(patientInfo && patientInfo.medfeePaymtdCode) || (form && form.value && form.value.contractNo) || ''"
+      :feeType="patientInfo.medfeePaymtdCode || ''"   
+      :contractName="patientInfo.contractName || ''"  
       :medfee_paymtd_code="medfee_paymtd_code"
     />
     <ReprintDialog
@@ -1208,7 +1209,11 @@ function handleReturn(row) {
   totalAmount.value = row.totalPrice;
   chargeItemIdList.value = row.chargeItemIds.split(',');
   paymentId.value = row.paymentId;
-  console.log(paymentId.value);
+    // 从挂号记录中获取正确的费用性质
+  patientInfo.value.medfeePaymtdCode = row.contractNo; // 使用挂号记录中的费用性质代码
+  patientInfo.value.contractName = row.contractName;   // 保存费用性质名称用于显示
+  
+  console.log('退号费用性质:', row.contractNo, row.contractName);
 }
 
 function handleReturnRegister() {