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 2cff7c07..720b1466 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
@@ -155,10 +155,16 @@ public class TicketAppServiceImpl implements ITicketAppService {
                 dto.setDepartmentId(raw.getDepartmentId());
                 dto.setRealPatientId(raw.getPatientId()); 
 
-                // 性别处理：直接读取优先级最高的订单性别字段 (SQL 已处理优先级)
-                if (raw.getPatientGender() != null) {
-                    String pg = raw.getPatientGender().trim();
-                    dto.setGender("1".equals(pg) ? "男" : ("2".equals(pg) ? "女" : "未知"));
+                // 性别处理：直接使用患者表中的 genderEnum
+                Integer genderEnum = raw.getGenderEnum();
+                if (genderEnum != null) {
+                    if (Integer.valueOf(1).equals(genderEnum)) {
+                        dto.setGender("男");
+                    } else if (Integer.valueOf(2).equals(genderEnum)) {
+                        dto.setGender("女");
+                    } else {
+                        dto.setGender("未知");
+                    }
                 } else {
                     dto.setGender("未知");
                 }