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 18fffad2..a5c33c3c 100755
--- a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
@@ -440,9 +440,8 @@
                 class="selected-item-card"
                 :class="{ 'is-expanded': item.expanded }"
               >
-                <!-- Bug #384修复 + #426修复: 项目卡片头部，可展开/收起 -->
-                <div class="card-header" @click="toggleItemExpand(item)">
-                  <el-tag v-if="item.isPackage || item.packageName" size="small" type="warning" style="margin-right: 4px; flex-shrink: 0;">套餐</el-tag>
+                <!-- Bug #384修复 + #426修复 + #550修复: 项目卡片头部，移除冗余"套餐"标签 -->
+                <div class="card-header" @click="toggleItemExpand(item)" :class="{ 'is-package': item.isPackage || item.packageName }">
                   <el-tooltip :content="item.name" placement="top" :show-after="400">
                     <span class="card-name">{{ item.name }}</span>
                   </el-tooltip>
@@ -1360,9 +1359,10 @@ function handleDelete(row) {
 }
 
 // Bug #428修复: 判断某个检查方法是否已被选中（任意项目关联了该方法）
+// Bug #550修复: 排除 methodAutoSelected 的项目，避免自动选中的方法导致右侧 checkbox 被动勾选
 function isMethodSelected(method, cat) {
   return selectedItems.value.some(item =>
-    item.selectedMethod?.id === method.id && item.checkType === cat.typeName
+    item.selectedMethod?.id === method.id && item.checkType === cat.typeName && !item.methodAutoSelected
   );
 }
 
@@ -1524,6 +1524,10 @@ async function handleItemSelect(checked, item, cat) {
     // 右侧不再展示「检查方法」列表：自动选默认方法（保存、计价仍依赖 selectedMethod）
     if (methods.length >= 1) {
       row.selectedMethod = pickDefaultMethod(methods, item);
+      // Bug #550修复: 标记为自动选择，isMethodSelected 需排除，避免右侧方法被被动勾选
+      row.methodAutoSelected = true;
+    } else {
+      row.methodAutoSelected = false;
     }
     updateMethodDisplay();
 
@@ -1958,7 +1962,7 @@ defineExpose({ getList });
 .selected-panel {
   width: 220px;
   min-width: 200px;
-  max-width: 280px;
+  max-width: 340px;  /* Bug #550修复: 从280px加宽到340px，让项目名更完整显示 */
   flex-shrink: 0;
   display: flex;
   flex-direction: column;
@@ -2008,6 +2012,11 @@ defineExpose({ getList });
   background: linear-gradient(180deg, #ecf5ff 0%, #e3eef8 100%);
 }
 
+/* Bug #550修复: 套餐项目左侧加橙色边框标识，与普通项目区分 */
+.selected-item-card .card-header.is-package {
+  border-left: 3px solid #e6a23c;
+}
+
 .selected-item-card.is-expanded .card-header {
   border-bottom-color: #ebeef5;
 }