diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
index 6e65d769..47e55783 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
@@ -247,6 +247,10 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
         if (EncounterStatus.CANCELLED.getValue().equals(byId.getStatusEnum())) {
             return R.fail(null, "该患者已经退号，请勿重复退号");
         }
+        // 只有待诊状态才能退号
+        if (!EncounterStatus.PLANNED.getValue().equals(byId.getStatusEnum())) {
+            return R.fail(null, "该患者医生已接诊，不能退号！");
+        }
         iEncounterService.returnRegister(cancelRegPaymentDto.getEncounterId());
         // 查询账户信息
         Account account = iAccountService