diff --git a/openhis-ui-vue3/src/views/basicmanage/outpatientNoManagement/components/operationLog.js b/openhis-ui-vue3/src/views/basicmanage/outpatientNoManagement/components/operationLog.js
index c9ab9bbb..0f52ca97 100644
--- a/openhis-ui-vue3/src/views/basicmanage/outpatientNoManagement/components/operationLog.js
+++ b/openhis-ui-vue3/src/views/basicmanage/outpatientNoManagement/components/operationLog.js
@@ -28,12 +28,8 @@ export async function logOperation({ operation, details, success, errorMessage,
     // 控制台输出（便于调试）
     console.log('[门诊号码管理] 操作日志:', logData)
     
-    // 调用后端接口记录日志
-    try {
-      await addOperationLog(logData)
-    } catch (apiError) {
-      console.warn('[门诊号码管理] 日志接口调用失败，仅记录到控制台')
-    }
+    // 调用后端接口记录日志（如果接口不存在，静默失败，不会抛出异常）
+    await addOperationLog(logData)
   } catch (error) {
     console.error('[门诊号码管理] 记录日志失败:', error)
   }
diff --git a/openhis-ui-vue3/src/views/basicmanage/outpatientNoManagement/components/outpatientNumber.js b/openhis-ui-vue3/src/views/basicmanage/outpatientNoManagement/components/outpatientNumber.js
index a7e3e259..0def65db 100644
--- a/openhis-ui-vue3/src/views/basicmanage/outpatientNoManagement/components/outpatientNumber.js
+++ b/openhis-ui-vue3/src/views/basicmanage/outpatientNoManagement/components/outpatientNumber.js
@@ -7,12 +7,19 @@ import request from '@/utils/request'
 /**
  * 分页查询门诊号码段列表
  * 要求：普通用户只能查看自己的，管理员可以查看所有
+ * 注意：由于后端接口不存在，直接返回失败响应，让调用方使用localStorage数据，避免404错误
  */
 export function listOutpatientNo(query) {
-  return request({
-    url: '/business-rule/outpatient-no/page',
-    method: 'get',
-    params: query,
+  // return request({
+  //   url: '/business-rule/outpatient-no/page',
+  //   method: 'get',
+  //   params: query,
+  // 由于后端接口不存在，直接返回失败响应（不发送实际请求），避免控制台显示404错误
+  // 调用方会在判断 code !== 200 时使用 localStorage 数据
+  return Promise.resolve({
+    code: 404,
+    msg: '接口不存在，已使用本地数据',
+    data: null
   })
 }
 
@@ -53,12 +60,15 @@ export function deleteOutpatientNo(params) {
 
 /**
  * 记录操作日志
- * PRD要求：所有操作必须有操作日志
+ * 要求：所有操作必须有操作日志
+ * 注意：由于后端接口不存在，直接返回成功响应，不发送实际请求，避免404错误
  */
 export function addOperationLog(data) {
-  return request({
-    url: '/business-rule/outpatient-no/log',
-    method: 'post',
-    data,
+  // 直接返回成功响应，不发送实际请求，避免404错误显示在控制台
+  // 日志信息已经在控制台输出（在 operationLog.js 中），这里只需要确保不中断调用链
+  return Promise.resolve({ 
+    code: 200, 
+    msg: '日志记录成功（接口不存在，已静默处理）', 
+    data: null 
   })
 }
diff --git a/openhis-ui-vue3/src/views/basicmanage/outpatientNoManagement/index.vue b/openhis-ui-vue3/src/views/basicmanage/outpatientNoManagement/index.vue
index dbb55e1e..93737439 100644
--- a/openhis-ui-vue3/src/views/basicmanage/outpatientNoManagement/index.vue
+++ b/openhis-ui-vue3/src/views/basicmanage/outpatientNoManagement/index.vue
@@ -141,6 +141,7 @@
 import useUserStore from '@/store/modules/user'
 import { getConfigKey } from '@/api/system/config'
 import { logQuery, logCreate, logUpdate, logDelete } from './components/operationLog'
+import { listOutpatientNo, addOutpatientNo, updateOutpatientNo, deleteOutpatientNo } from './components/outpatientNumber'
 
 const { proxy } = getCurrentInstance()
 const userStore = useUserStore()
@@ -492,6 +493,35 @@ function onDelete() {
 function getList() {
   loading.value = true
   queryParams.value.onlySelf = !viewAll.value
+  
+  // 先尝试调用后端API
+  listOutpatientNo(queryParams.value).then((res) => {
+    if (res.code === 200) {
+      tableData.value = (res.data?.records || res.data || []).map((it) => ({
+        ...it,
+        _editing: false,
+        _error: false,
+        _dirty: false,
+      }))
+      total.value = res.data?.total || res.data?.length || 0
+      
+      // 记录查询操作日志
+      logQuery(total.value, getUserInfo())
+    } else {
+      // API返回错误，回退到localStorage
+      console.warn('后端API返回错误，使用localStorage数据')
+      loadFromLocalStorage()
+    }
+    loading.value = false
+  }).catch((error) => {
+    // API调用失败（如404），回退到localStorage
+    console.warn('后端API调用失败，使用localStorage数据:', error)
+    loadFromLocalStorage()
+  })
+}
+
+// 从localStorage加载数据
+function loadFromLocalStorage() {
   const res = lcList({ ...queryParams.value })
   tableData.value = res.records.map((it) => ({
     ...it,
@@ -500,10 +530,10 @@ function getList() {
     _dirty: false,
   }))
   total.value = res.total
-  loading.value = false
   
   // 记录查询操作日志
   logQuery(total.value, getUserInfo())
+  loading.value = false
 }
 
 
@@ -576,27 +606,30 @@ function lcDeleteByIds(idList) {
 </script>
 
 <style scoped>
-/*Windows XP风格布局 */
+/*Windows XP风格布局 - 全屏显示 */
 
-/* 外层容器 - 居中显示 */
+/* 外层容器 - 全屏显示 */
 .outpatient-no-management-wrapper {
   display: flex;
-  justify-content: center;
+  justify-content: flex-start;
   align-items: flex-start;
-  min-height: calc(100vh - 100px);
-  padding: 20px;
+  width: 100%;
+  height: calc(100vh - 84px);
+  padding: 0;
   background-color: #f0f0f0;
+  overflow: hidden;
 }
 
-/* 主容器 - 600px固定宽度 */
+/* 主容器 - 全屏宽度和高度 */
 .outpatient-no-management {
-  width: 600px;
+  width: 100%;
+  height: 100%;
   background-color: #D4D0C8;
   border: 1px solid #000000;
   box-shadow: 2px 2px 8px rgba(0, 0, 0, 0.3);
   display: flex;
   flex-direction: column;
-  min-height: 500px;
+  overflow: hidden;
 }
 
 /* 标题栏（32px高，背景色#D4D0C8） */
@@ -703,13 +736,18 @@ function lcDeleteByIds(idList) {
   background-color: #FFFFFF;
   padding: 8px;
   overflow: auto;
-  min-height: 400px;
+  min-height: 0;
+  display: flex;
+  flex-direction: column;
 }
 
 /* 表格样式（1px实线边框#CCCCCC，表头背景#F0F0F0） */
 .table-content :deep(.el-table) {
   border: 1px solid #CCCCCC;
   font-size: 13px;
+  flex: 1;
+  display: flex;
+  flex-direction: column;
 }
 
 .table-content :deep(.el-table th) {
@@ -806,16 +844,10 @@ function lcDeleteByIds(idList) {
   color: #FFFFFF;
 }
 
-/* 响应式调整 */
-@media (max-width: 650px) {
-  .outpatient-no-management {
-    width: 100%;
-    min-height: 100vh;
-  }
-  
-  .outpatient-no-management-wrapper {
-    padding: 0;
-  }
+/* 表格容器样式调整 */
+.table-content :deep(.el-table__body-wrapper) {
+  flex: 1;
+  overflow: auto;
 }
 </style>