diff --git a/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue b/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
index a8cfa5b8..9f2b6ff4 100644
--- a/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
+++ b/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
@@ -3,7 +3,46 @@
     <el-row>
       <el-col :span="24" class="card-box">
         <el-card>
-          <template #header> <span style="vertical-align: middle">门诊挂号</span></template>
+          <template #header>
+            <div style="display: flex; align-items: center; justify-content: space-between; width: 100%">
+              <span style="vertical-align: middle; font-size: 16px; font-weight: bold;">门诊挂号</span>
+              <div>
+                <el-button type="primary" icon="Plus" @click="handleAddPatient" style="margin-right: 8px;">
+                  新建
+                </el-button>
+                <el-button
+                  type="primary"
+                  plain
+                  icon="Search"
+                  @click="handleSearch"
+                  style="margin-right: 8px;"
+                >
+                  查询
+                </el-button>
+                <el-button type="primary" plain @click="handleReadCard('01')" style="margin-right: 8px;">
+                  电子凭证
+                </el-button>
+                <el-button
+                  type="primary"
+                  plain
+                  @click="handleReadCard('02')"
+                  style="margin-right: 8px;"
+                  :disabled="true"
+                >
+                  身份证
+                </el-button>
+                <el-button type="primary" plain @click="handleReadCard('03')" style="margin-right: 8px;">
+                  医保卡
+                </el-button>
+                <el-button type="warning" plain icon="CircleClose" @click="handleClear" style="margin-right: 8px;">
+                  清空
+                </el-button>
+                <el-button type="primary" icon="Plus" @click="handleAdd">
+                  保存挂号
+                </el-button>
+              </div>
+            </div>
+          </template>
           <el-form :model="form" :rules="rules" ref="outpatientRegistrationRef" label-width="110px">
             <el-row :gutter="24">
               <el-col :span="5">
@@ -28,44 +67,6 @@
                   </el-popover>
                 </el-form-item>
               </el-col>
-              <el-col :span="6" style="padding: 0">
-                <el-button type="primary" icon="Plus" @click="handleAddPatient" style="width: 65px">
-                  新建
-                </el-button>
-                <el-button
-                  type="primary"
-                  plain
-                  icon="Search"
-                  @click="handleSearch"
-                  style="width: 65px"
-                >
-                  查询
-                </el-button>
-                <el-button type="primary" plain @click="handleReadCard('01')" style="width: 65px">
-                  电子凭证
-                </el-button>
-                <el-button
-                  type="primary"
-                  plain
-                  @click="handleReadCard('02')"
-                  style="width: 65px"
-                  :disabled="true"
-                >
-                  身份证
-                </el-button>
-                <el-button type="primary" plain @click="handleReadCard('03')" style="width: 65px">
-                  医保卡
-                </el-button>
-                <!-- <el-button
-                  type="primary"
-                  plain
-                  @click="handleReadCard('99')"
-                  style="width: 65px"
-                  :disabled="true"
-                >
-                  学生卡
-                </el-button> -->
-              </el-col>
               <el-col :span="5">
                 <el-form-item label="姓名：" prop="name">
                   <el-input v-model="form.name" placeholder="姓名" :disabled="true" />
@@ -350,12 +351,6 @@
                   <el-input v-model="form.totalPrice" placeholder="" :disabled="true" />
                 </el-form-item>
               </el-col>
-              <el-col :span="4" style="text-align: right">
-                <el-button type="warning" plain icon="CircleClose" @click="handleClear"
-                  >清空</el-button
-                >
-                <el-button type="primary" plain icon="Plus" @click="handleAdd">保存挂号</el-button>
-              </el-col>
             </el-row>
             <!-- <el-row :gutter="24" justify="end">
               <el-col :span="5" style="text-align: right">