diff --git a/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue b/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
index a8cfa5b8..4bdfac93 100644
--- a/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
+++ b/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
@@ -3,7 +3,20 @@
     <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 class="header-buttons">
+                <el-button type="primary" icon="Plus" @click="handleAddPatient" size="small">新建</el-button>
+                <el-button type="primary" plain icon="Search" @click="handleSearch" size="small">查询</el-button>
+                <el-button type="primary" plain @click="handleReadCard('01')" size="small">电子凭证</el-button>
+                <el-button type="primary" plain @click="handleReadCard('02')" size="small" :disabled="true">身份证</el-button>
+                <el-button type="primary" plain @click="handleReadCard('03')" size="small">医保卡</el-button>
+                <el-button type="warning" plain icon="CircleClose" @click="handleClear" size="small">清空</el-button>
+                <el-button type="primary" icon="Plus" @click="handleAdd" size="small">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 +41,6 @@
                   </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" />
@@ -350,33 +325,12 @@
                   <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-row>
+            <el-row :gutter="24" justify="end">
+              <el-col :span="5" style="text-align: right">
+                <!-- 功能按钮已移至标题区域 -->
               </el-col>
             </el-row>
-            <!-- <el-row :gutter="24" justify="end">
-              <el-col :span="5" style="text-align: right">
-                <el-button
-                  type="warning"
-                  plain
-                  icon="CircleClose"
-                  @click="handleClear"
-                  v-hasPermi="['system:user:export']"
-                  >清空</el-button
-                >
-                <el-button
-                  type="primary"
-                  plain
-                  icon="Plus"
-                  @click="handleAdd"
-                  v-hasPermi="['system:user:add']"
-                  >添加</el-button
-                >
-              </el-col>
-            </el-row> -->
           </el-form>
         </el-card>
       </el-col>
@@ -1324,4 +1278,10 @@ getLocationInfo();
   margin-bottom: 0; /* 去掉默认的 margin-bottom */
   margin-left: 8px; /* 图标和下拉选之间的间距 */
 }
+
+/* 标题区域按钮样式 */
+.header-buttons {
+  display: flex;
+  gap: 8px;
+}
 </style>