diff --git a/openhis-ui-vue3/src/views/charge/outpatientregistration/components/patientAddDialog.vue b/openhis-ui-vue3/src/views/charge/outpatientregistration/components/patientAddDialog.vue
index 04ed8d17..f67b8558 100644
--- a/openhis-ui-vue3/src/views/charge/outpatientregistration/components/patientAddDialog.vue
+++ b/openhis-ui-vue3/src/views/charge/outpatientregistration/components/patientAddDialog.vue
@@ -80,6 +80,19 @@
             <el-input v-model="form.countryCode" clearable :disabled="isViewMode" />
           </el-form-item>
         </el-col>
+        <el-col :span="8">
+          <el-form-item label="出生日期" prop="birthDate">
+            <el-date-picker
+              v-model="form.birthDate"
+              type="date"
+              placeholder="请选择出生日期"
+              format="YYYY年MM月DD日"
+              :disabled="isViewMode"
+              value-format="YYYY-MM-DD"
+              @change="handleBirthDateChange"
+            />
+          </el-form-item>
+        </el-col>
       </el-row>
       <!-- <el-col :span="6">
 						<el-form-item label="年龄" prop="age">
@@ -109,7 +122,8 @@
             <el-input
               v-model="form.age"
               :disabled="isViewMode"
-              @input="(value) => (form.age = value.replace(/[^0-9]/g, ''))"
+              @input="handleAgeInput"
+              placeholder="请输入年龄"
             />
           </el-form-item>
         </el-col>
@@ -320,6 +334,8 @@ const data = reactive({
   isViewMode: false,
   form: {
     typeCode: '08',
+    birthDate: undefined,
+    age: undefined,
   },
   rules: {
     name: [{ required: true, message: '姓名不能为空', trigger: 'change' }],
@@ -330,6 +346,7 @@ const data = reactive({
         { required: true, message: '证件号码不能为空', trigger: 'change' },
         { validator: validateIdCard, trigger: 'blur' }
       ],
+       birthDate: [{ required: false, message: '请选择出生日期', trigger: 'change' }],
   },
 });
 
@@ -347,6 +364,46 @@ const props = defineProps({
   },
 });
 
+// 处理出生日期变化，自动计算年龄
+function handleBirthDateChange() {
+  if (form.value.birthDate) {
+    const birthDate = new Date(form.value.birthDate);
+    const today = new Date();
+    
+    let age = today.getFullYear() - birthDate.getFullYear();
+    const monthDiff = today.getMonth() - birthDate.getMonth();
+    
+    // 计算精确年龄
+    if (monthDiff < 0 || (monthDiff === 0 && today.getDate() < birthDate.getDate())) {
+      age--;
+    }
+    
+    form.value.age = age + '岁';
+  }
+}
+
+// 处理年龄输入，自动计算出生日期
+function handleAgeInput() {
+  // 提取数字部分
+  const ageMatch = form.value.age.match(/\d+/);
+  if (ageMatch) {
+    const age = parseInt(ageMatch[0]);
+    // 移除非数字字符，保留数字和可能的单位
+    form.value.age = age + '岁';
+    
+    // 计算出生日期
+    const today = new Date();
+    const birthYear = today.getFullYear() - age;
+    const birthMonth = today.getMonth();
+    const birthDay = today.getDate();
+    
+    const birthDate = new Date(birthYear, birthMonth, birthDay);
+    
+    // 格式化为YYYY-MM-DD
+    const formattedBirthDate = birthDate.toISOString().split('T')[0];
+    form.value.birthDate = formattedBirthDate;
+  }
+}
 watch(
   () => form.value.idCard,
   (newIdCard) => {
@@ -354,7 +411,8 @@ watch(
       const birthYear = parseInt(newIdCard.substring(6, 10));
       const birthMonth = parseInt(newIdCard.substring(10, 12));
       const birthDay = parseInt(newIdCard.substring(12, 14));
-      
+       // 设置出生日期
+      form.value.birthDate = `${birthYear}-${birthMonth.toString().padStart(2, '0')}-${birthDay.toString().padStart(2, '0')}`;
       const today = new Date();
       const currentYear = today.getFullYear();
       const currentMonth = today.getMonth() + 1;
@@ -370,7 +428,7 @@ watch(
         age--;
       }
       
-      form.value.age = age;
+      form.value.age = age + '岁';
     }
   }
 );
@@ -463,6 +521,7 @@ function reset() {
     maritalStatusEnum: undefined,
     busNo: undefined,
     organizationId: undefined,
+    birthDate: undefined,
   };
   proxy.resetForm('patientRef');
 }