diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/appservice/impl/TicketAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/appservice/impl/TicketAppServiceImpl.java
index f63290d2..2cff7c07 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/appservice/impl/TicketAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/appservice/impl/TicketAppServiceImpl.java
@@ -142,6 +142,7 @@ public class TicketAppServiceImpl implements ITicketAppService {
 
                 // 基础字段映射
                 dto.setSlot_id(raw.getSlotId());
+                dto.setSeqNo(raw.getSeqNo());
                 dto.setBusNo(String.valueOf(raw.getSlotId()));
                 dto.setDoctor(raw.getDoctor());
                 dto.setDepartment(raw.getDepartmentName()); // 注意：以前这里传成了ID，导致前端出Bug，现在修复成了真正的科室名
@@ -319,6 +320,7 @@ public class TicketAppServiceImpl implements ITicketAppService {
                 // --- 基础字段处理 ---
                 // 注意：这里已经变成了极其舒服的 .getSlotId() 方法调用，告别魔鬼字符串！
                 dto.setSlot_id(raw.getSlotId());
+                dto.setSeqNo(raw.getSeqNo());
                 dto.setBusNo(String.valueOf(raw.getSlotId())); // 暂时借用真实槽位ID做唯一流水号
                 dto.setDoctor(raw.getDoctor());
                 dto.setDepartment(raw.getDepartmentName());
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/dto/TicketDto.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/dto/TicketDto.java
index 74e94643..afc073a4 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/dto/TicketDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/dto/TicketDto.java
@@ -23,6 +23,11 @@ public class TicketDto {
     @JsonSerialize(using = ToStringSerializer.class)
     private Long slot_id;
 
+    /**
+     * 号源序号（对应 adm_schedule_slot.seq_no）
+     */
+    private Integer seqNo;
+
     /**
      * 号源编码
      */
diff --git a/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/domain/TicketSlotDTO.java b/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/domain/TicketSlotDTO.java
index 351d1015..fa778a91 100644
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/domain/TicketSlotDTO.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/domain/TicketSlotDTO.java
@@ -11,6 +11,7 @@ import java.time.LocalTime;
 public class TicketSlotDTO {
     // 基础信息
     private Long slotId;
+    private Integer seqNo;
     private Long scheduleId;
     private String doctor;
     private Long doctorId;
diff --git a/openhis-server-new/openhis-domain/src/main/resources/mapper/administration/ScheduleSlotMapper.xml b/openhis-server-new/openhis-domain/src/main/resources/mapper/administration/ScheduleSlotMapper.xml
index 7f50bfe3..f93a7e6c 100644
--- a/openhis-server-new/openhis-domain/src/main/resources/mapper/administration/ScheduleSlotMapper.xml
+++ b/openhis-server-new/openhis-domain/src/main/resources/mapper/administration/ScheduleSlotMapper.xml
@@ -43,6 +43,7 @@
     <select id="selectAllTicketSlots" resultType="com.openhis.appointmentmanage.domain.TicketSlotDTO">
         SELECT
             s.id AS slotId,
+            s.seq_no AS seqNo,
             p.schedule_id AS scheduleId,
             p.doctor_name AS doctor,
             p.dept_id AS departmentId,
@@ -91,6 +92,7 @@
     <select id="selectTicketSlotById" resultType="com.openhis.appointmentmanage.domain.TicketSlotDTO">
         SELECT
             s.id AS slotId,
+            s.seq_no AS seqNo,
             p.schedule_id AS scheduleId,
             p.doctor_name AS doctor,
             p.doctor_id AS doctorId,
@@ -205,6 +207,7 @@
     <select id="selectTicketSlotsPage" resultType="com.openhis.appointmentmanage.domain.TicketSlotDTO">
         SELECT
             s.id AS slotId,
+            s.seq_no AS seqNo,
             p.schedule_id AS scheduleId,
             p.doctor_name AS doctor,
             p.doctor_id AS doctorId,
diff --git a/openhis-ui-vue3/src/views/appoinmentmanage/outpatientAppointment/index.vue b/openhis-ui-vue3/src/views/appoinmentmanage/outpatientAppointment/index.vue
index 5635bbfc..b452581b 100644
--- a/openhis-ui-vue3/src/views/appoinmentmanage/outpatientAppointment/index.vue
+++ b/openhis-ui-vue3/src/views/appoinmentmanage/outpatientAppointment/index.vue
@@ -106,7 +106,7 @@
         <div class="ticket-grid" v-if="filteredTickets.length > 0">
           <div v-for="(item, index) in filteredTickets" :key="item.slot_id" class="ticket-card" @dblclick="handleDoubleClick(item)" @contextmenu.prevent="handleRightClick($event, item)">
             <!-- 序号放在最右侧 -->
-            <div class="ticket-index">{{ index + 1 }}</div>
+            <div class="ticket-index">{{ item.seqNo != null ? item.seqNo : index + 1 }}</div>
             <!-- 1.时间 -->
             <div class="ticket-id-time">{{ item.dateTime }}</div>
             <!-- 2. 状态标签 -->
@@ -126,7 +126,7 @@
             <div class="ticket-type">{{ item.ticketType === 'general' ? '普通' : '专家' }}</div>
             <!-- 7. 已预约患者信息 -->
             <div v-if="(item.status === '已预约' || item.status === '已取号') && item.patientName" class="ticket-patient">
-              {{ item.patientName }}({{ item.patientId }})
+              {{ item.patientName }}({{ item.patientId }},{{ getGenderText(item.gender || item.patientGender) }})
             </div>
             <div class="ticket-actions">
               <button class="action-button book-button" @click="openPatientSelectModal(item.slot_id)" :disabled="item.status !== '未预约'" :class="{ 'disabled': item.status !== '未预约' }">
@@ -195,6 +195,7 @@
                 >
                   <td>{{ index + 1 }}</td>
                   <td>{{ patient.name }}</td>
+                  <td>{{ patient.identifierNo || patient.medicalCard || patient.id }}</td>
                   <td>{{ patient.identifierNo }}</td>
                   <td>{{ getGenderText(patient.genderEnum_enumText || patient.genderEnum || patient.gender || patient.sex) }}</td>
                   <td>{{ patient.idCard }}</td>
@@ -366,14 +367,23 @@ export default {
       this.searchPatients();
     },
     getPatientUniqueId(patient, index = null) {
-      return patient.idCard || patient.medicalCard || patient.id || (index !== null ? `temp_${index}` : null);
+      return patient.id || patient.patientId || patient.identifierNo || patient.medicalCard || patient.idCard ||
+        (index !== null ? `temp_${index}` : null);
     },
     matchPatientKeyword(patient, keyword) {
       const normalizedKeyword = String(keyword || '').trim().toLowerCase();
       if (!normalizedKeyword) {
         return true;
       }
-      const fields = [patient.name, patient.id, patient.medicalCard, patient.idCard, patient.phone];
+      const fields = [
+        patient.name,
+        patient.id,
+        patient.patientId,
+        patient.identifierNo,
+        patient.medicalCard,
+        patient.idCard,
+        patient.phone
+      ];
       return fields.some(field => String(field || '').toLowerCase().includes(normalizedKeyword));
     },
     searchPatients() {
@@ -396,6 +406,8 @@ export default {
             const rowKey = this.getPatientUniqueId(patient, index);
             return {
               ...patient,
+              // 统一口径：预约场景的就诊卡号使用患者标识表中的 identifierNo
+              medicalCard: patient.identifierNo || patient.medicalCard || '',
               _rowKey: rowKey
             };
           });
@@ -496,6 +508,7 @@ export default {
             this.tickets[ticketIndex].patientName = null;
             this.tickets[ticketIndex].patientId = null;
             this.tickets[ticketIndex].patientGender = null;
+            this.tickets[ticketIndex].gender = null;
             this.tickets[ticketIndex].medicalCard = null;
             this.tickets[ticketIndex].phone = null;
           }
@@ -556,12 +569,22 @@ export default {
 
       try {
         const userStore = useUserStore();
+        const patientPrimaryId = this.selectedPatient.id || this.selectedPatient.patientId;
+        const medicalCard = this.selectedPatient.identifierNo || this.selectedPatient.medicalCard;
+        if (!patientPrimaryId) {
+          ElMessage.error('患者ID缺失，无法预约，请重新选择患者');
+          return;
+        }
+        if (!medicalCard) {
+          ElMessage.error('就诊卡号缺失，无法预约，请先维护患者就诊卡号');
+          return;
+        }
         const appointmentData = {
           ticketId: this.currentTicket.slot_id,
           slotId: this.currentTicket.slot_id,
-          patientId: this.selectedPatient.id || this.selectedPatient.idCard || this.selectedPatient.medicalCard,
+          patientId: patientPrimaryId,
           patientName: this.selectedPatient.name,
-          medicalCard: this.selectedPatient.medicalCard || this.selectedPatient.id,
+          medicalCard,
           phone: this.selectedPatient.phone,
           gender: this.getGenderValueForBackend(this.selectedPatient),
           fee: Number(this.currentTicket.fee) || 0,
@@ -580,8 +603,9 @@ export default {
           if (ticketIndex !== -1) {
             this.tickets[ticketIndex].status = '已预约';
             this.tickets[ticketIndex].patientName = this.selectedPatient.name;
-            this.tickets[ticketIndex].patientId = this.selectedPatient.medicalCard || this.selectedPatient.id;
+            this.tickets[ticketIndex].patientId = medicalCard;
             this.tickets[ticketIndex].patientGender = this.selectedPatient.genderEnum_enumText || this.selectedPatient.genderEnum || this.selectedPatient.gender || this.selectedPatient.sex;
+            this.tickets[ticketIndex].gender = this.getGenderText(this.tickets[ticketIndex].patientGender);
           }
 
           this.closePatientSelectModal();
@@ -603,9 +627,9 @@ export default {
     },
     // 获取性别文本
     getGenderText(genderValue) {
-      // 如果值为null或undefined，返回'-'
+      // 如果值为null或undefined，返回"未知"
       if (genderValue === null || genderValue === undefined) {
-        return '-';
+        return '未知';
       }
       
       // 将值转换为字符串进行比较
@@ -625,8 +649,8 @@ export default {
         return '女';
       }
       
-      // 如果都不是，返回原值或'-'
-      return '-';
+      // 如果都不是，返回"未知"
+      return '未知';
     },
     // 获取用于后端的性别值
     getGenderValueForBackend(patient) {
diff --git a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
index fec11bc7..aba3cc35 100644
--- a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
@@ -164,7 +164,14 @@
                 </el-col>
                 <el-col :span="8">
                   <el-form-item label="检查方法">
-                    <el-input v-model="form.inspectionMethod" readonly />
+                    <el-select v-model="form.inspectionMethod" placeholder="请选择" clearable filterable style="width: 100%;">
+                      <el-option
+                        v-for="method in availableMethods"
+                        :key="method.id"
+                        :label="method.name"
+                        :value="method.name"
+                      />
+                    </el-select>
                   </el-form-item>
                 </el-col>
               </el-row>
@@ -308,6 +315,7 @@ import { ElMessage, ElMessageBox } from 'element-plus';
 import { Printer, Delete } from '@element-plus/icons-vue';
 import useUserStore from '@/store/modules/user';
 import request from '@/utils/request';
+import { listCheckMethod } from '@/api/system/checkType';
 
 const props = defineProps({
   patientInfo: { type: Object, default: () => ({}) },
@@ -373,10 +381,69 @@ const categoryList = ref([]);   // 原始分类+项目数据
 const dictSearchKey = ref('');
 const activeNames = ref([]);    // 当前展开的折叠项
 
+const allMethods = ref([]);
+
+// 加载所有检查方法
+async function loadAllMethods() {
+  try {
+    const res = await listCheckMethod(); // 使用已导入的或者直接利用 request 请求
+    let methods = [];
+    if (res && res.data) {
+      if (Array.isArray(res.data)) {
+        methods = res.data;
+      } else if (res.data.records) {
+        methods = res.data.records;
+      } else if (res.data.data && Array.isArray(res.data.data)) {
+        methods = res.data.data;
+      }
+    } else if (Array.isArray(res)) {
+      methods = res;
+    } else if (res && res.rows) {
+      methods = res.rows;
+    }
+    allMethods.value = methods;
+  } catch (err) {
+    console.error('加载检查方法失败', err);
+  }
+}
+
 onMounted(async () => {
+  await loadAllMethods();
   await loadCategoryList();
 });
 
+// 动态可用的检查方法（根据已选部位所属的检查类型进行过滤）
+const normalizeTypeValue = value => String(value ?? '').trim().toLowerCase();
+
+const availableMethods = computed(() => {
+  // 获取当前已选部位的检查类型（可取第一个选中的部位的 checkType）
+  const currentType = form.examTypeCode || (selectedItems.value.length > 0 ? selectedItems.value[0].checkType : '');
+  const normalizedCurrentType = normalizeTypeValue(currentType);
+  if (normalizedCurrentType) {
+    // 兼容脏数据：method 的类型可能落在 checkType/type/typeCode/code/typeName/categoryName 中
+    const filtered = allMethods.value.filter(m => {
+      const typeCandidates = [
+        m.checkType,
+        m.type,
+        m.typeCode,
+        m.code,
+        m.typeName,
+        m.categoryName
+      ].map(normalizeTypeValue).filter(Boolean);
+      return typeCandidates.includes(normalizedCurrentType);
+    });
+    return filtered.length > 0 ? filtered : allMethods.value;
+  }
+  return allMethods.value;
+});
+
+// 当可选方法列表改变时，如果当前选中的方法不在新列表中，则清空
+watch(availableMethods, (newMethods) => {
+  if (form.inspectionMethod && !newMethods.find(m => m.name === form.inspectionMethod)) {
+    form.inspectionMethod = '';
+  }
+});
+
 /**
  * 加载检查类型（分类）和检查项目（部位/项目），按类型分组展示
  */
@@ -390,25 +457,45 @@ async function loadCategoryList() {
       params: { pageNo: 1, pageSize: 500 }  // 取全量分类数据
     });
     let types = [];
-    if (typeRes.data?.records) types = typeRes.data.records;
-    else if (Array.isArray(typeRes.data)) types = typeRes.data;
-    else if (Array.isArray(typeRes.rows)) types = typeRes.rows;
+    if (typeRes && typeRes.data) {
+      if (Array.isArray(typeRes.data)) {
+        types = typeRes.data;
+      } else if (typeRes.data.records) {
+        types = typeRes.data.records;
+      } else if (typeRes.data.data && Array.isArray(typeRes.data.data)) {
+        types = typeRes.data.data;
+      }
+    } else if (Array.isArray(typeRes)) {
+      types = typeRes;
+    } else if (typeRes && typeRes.rows) {
+      types = typeRes.rows;
+    }
 
     // 2. 加载检查项目（检查部位项目）
     const partRes = await request({ url: '/check/part/list', method: 'get' });
     let parts = [];
-    if (Array.isArray(partRes)) parts = partRes;
-    else if (Array.isArray(partRes.data?.data)) parts = partRes.data.data;  // 双层嵌套：{ data: { data: [...] } }
-    else if (Array.isArray(partRes.data)) parts = partRes.data;
-    else if (Array.isArray(partRes.rows)) parts = partRes.rows;
-    else if (partRes.data?.records) parts = partRes.data.records;
+    if (partRes && partRes.data) {
+      if (Array.isArray(partRes.data)) {
+        parts = partRes.data;
+      } else if (partRes.data.records) {
+        parts = partRes.data.records;
+      } else if (partRes.data.data && Array.isArray(partRes.data.data)) {
+        parts = partRes.data.data;
+      }
+    } else if (Array.isArray(partRes)) {
+      parts = partRes;
+    } else if (partRes && partRes.rows) {
+      parts = partRes.rows;
+    }
 
     // 3. 按 checkType 归类
     const dict = [];
     for (const t of types) {
       dict.push({
         typeId: t.id,
-        typeCode: t.type,
+        typeCode: t.code,        // 保存 code 用于后备匹配
+        orgType: t.type,         // 保存 type 用于后备匹配
+        typeName: t.name,        // 保存 name
         categoryName: t.name,
         items: []
       });
@@ -425,7 +512,15 @@ async function loadCategoryList() {
         nationalCode: p.nationalCode || '',
         checked: false
       };
-      const target = dict.find(d => d.typeCode === p.checkType);
+      
+      // 增强匹配逻辑：部位的 checkType (如 'ECG', 'CT') 优先去匹配大类的 orgType，
+      // 如果大类的 type 字段脏了（比如填了中文），则尝试匹配 code，甚至是分类名称
+      const target = dict.find(d => 
+        d.orgType === p.checkType || 
+        d.typeCode === p.checkType ||
+        d.typeName === p.checkType
+      );
+      
       if (target) target.items.push(mapped);
       else unclassified.push(mapped);
     }