diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/AdviceManageAppMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/AdviceManageAppMapper.xml
index 1774a420..6201b68d 100644
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/AdviceManageAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/AdviceManageAppMapper.xml
@@ -5,7 +5,8 @@
 <mapper namespace="com.openhis.web.regdoctorstation.mapper.AdviceManageAppMapper">
 
     <select id="getRegPatientMainInfo" resultType="com.openhis.web.regdoctorstation.dto.RegPatientMainInfoDto">
-        SELECT rpmi.tenant_id,
+        SELECT DISTINCT ON (rpmi.patient_id)
+               rpmi.tenant_id,
                rpmi.encounter_id,
                rpmi.status_enum,
                rpmi.bus_no,
@@ -26,7 +27,7 @@
                rpmi.contract_name,
                rpmi.reg_diagnosis_name,
                rpmi.account_id
-        from (SELECT ae.tenant_id,
+        FROM (SELECT ae.tenant_id,
                      ae.ID                                                             AS encounter_id,
                      ae.status_enum                                                    AS status_enum,
                      ae.bus_no                                                         AS bus_no,
@@ -94,7 +95,90 @@
                     AND practitioner_id = #{practitionerId}
                     AND org_id = ae.organization_id
               )) AS rpmi
-            ${ew.customSqlSegment}
+        <if test="ew != null and ew.sqlSegment != null and ew.sqlSegment != ''">
+            WHERE ${ew.sqlSegment}
+        </if>
+        ORDER BY rpmi.patient_id, rpmi.encounter_id DESC
+    </select>
+
+    <!-- 用于分页的COUNT查询，与主查询保持一致的去重逻辑 -->
+    <select id="getRegPatientMainInfoCount" resultType="java.lang.Long">
+        SELECT COUNT(*) FROM (
+            SELECT DISTINCT ON (rpmi.patient_id)
+                   rpmi.patient_id
+            FROM (SELECT ae.tenant_id,
+                         ae.ID                                                             AS encounter_id,
+                         ae.status_enum                                                    AS status_enum,
+                         ae.bus_no                                                         AS bus_no,
+                         ae.start_time                                                     AS in_hospital_time,
+                         (EXTRACT(DAY FROM (CURRENT_DATE - ae.start_time)) :: INTEGER + 1) AS in_hospital_days,
+                         ae.end_time                                                       AS out_hospital_time,
+                         ap.ID                                                             AS patient_id,
+                         ap.NAME                                                           AS patient_name,
+                         ap.gender_enum                                                    AS gender_enum,
+                         ap.birth_date                                                     AS birth_date,
+                         alw.NAME                                                          AS ward_name,
+                         alh.NAME                                                          AS house_name,
+                         alb.NAME                                                          AS bed_name,
+                         aelb.start_time                                                   AS in_org_time,
+                         ao.id                                                             AS in_hospital_org_id,
+                         ao.NAME                                                           AS in_hospital_org_name,
+                         aa.id                                                             AS account_id,
+                         aa.contract_no                                                    AS contract_no,
+                         fc.contract_name                                                  AS contract_name,
+                         ccd.NAME                                                          AS reg_diagnosis_name
+                  FROM adm_encounter AS ae
+                           LEFT JOIN adm_patient AS ap ON ap.ID = ae.patient_id
+                      AND ap.delete_flag = '0'
+                           LEFT JOIN adm_organization AS ao ON ao.ID = ae.organization_id
+                      AND ao.delete_flag = '0'
+                           LEFT JOIN adm_encounter_location AS aelw ON aelw.encounter_id = ae.ID
+                      AND aelw.delete_flag = '0'
+                      AND aelw.form_enum = #{wardEnum}
+                      AND aelw.status_enum = #{encounterActivityStatus}
+                           LEFT JOIN adm_location AS alw ON alw.ID = aelw.location_id
+                      AND alw.delete_flag = '0'
+                           LEFT JOIN adm_encounter_location AS aelh ON aelh.encounter_id = ae.ID
+                      AND aelh.delete_flag = '0'
+                      AND aelh.form_enum = #{houseEnum}
+                      AND aelh.status_enum = #{encounterActivityStatus}
+                           LEFT JOIN adm_location AS alh ON alh.ID = aelh.location_id
+                      AND alh.delete_flag = '0'
+                           LEFT JOIN adm_encounter_location AS aelb ON aelb.encounter_id = ae.ID
+                      AND aelb.delete_flag = '0'
+                      AND aelb.form_enum = #{bedEnum}
+                      AND aelb.status_enum = #{encounterActivityStatus}
+                           LEFT JOIN adm_location AS alb ON alb.ID = aelb.location_id
+                      AND alb.delete_flag = '0'
+                           INNER JOIN adm_account AS aa ON aa.encounter_id = ae.ID
+                      AND aa.delete_flag = '0'
+                      AND aa.encounter_flag = 1
+                           LEFT JOIN fin_contract AS fc ON fc.bus_no = aa.contract_no
+                      AND fc.delete_flag = '0'
+                           LEFT JOIN adm_encounter_diagnosis AS aed ON aed.encounter_id = ae.ID
+                      AND aed.delete_flag = '0'
+                      AND aed.maindise_flag = #{maindiseFlag}
+                           LEFT JOIN cli_condition AS cc ON cc.ID = aed.condition_id
+                      AND cc.delete_flag = '0'
+                           LEFT JOIN cli_condition_definition AS ccd ON ccd.ID = cc.definition_id
+                      AND ccd.delete_flag = '0'
+                  WHERE ae.delete_flag = '0'
+                    AND ae.class_enum = #{classEnum}
+                    AND ae.status_enum != #{toBeRegistered}
+                    AND ae.status_enum != #{alreadySettled}
+                    AND ae.status_enum != #{registered}
+                    AND EXISTS(
+                      SELECT 1
+                      FROM adm_practitioner_role
+                      WHERE delete_flag = '0'
+                        AND practitioner_id = #{practitionerId}
+                        AND org_id = ae.organization_id
+                  )) AS rpmi
+            <if test="ew != null and ew.sqlSegment != null and ew.sqlSegment != ''">
+                WHERE ${ew.sqlSegment}
+            </if>
+            ORDER BY rpmi.patient_id, rpmi.encounter_id DESC
+        ) AS distinct_patients
     </select>
 
     <select id="getRegRequestBaseInfo" resultType="com.openhis.web.regdoctorstation.dto.RegRequestBaseDto">
@@ -275,7 +359,9 @@
               WHERE aa.type_code = #{personalCashAccount}
                 AND aa.delete_flag = '0'
               GROUP BY aa.tenant_id, aa.id, aa.insutype, aa.encounter_id, aa.balance_amount) AS final_res
-            ${ew.customSqlSegment}
+        <if test="ew != null and ew.sqlSegment != null and ew.sqlSegment != ''">
+            WHERE ${ew.sqlSegment}
+        </if>
     </select>
 
 </mapper>
\ No newline at end of file
diff --git a/openhis-server-new/openhis-common/src/main/java/com/openhis/common/aspectj/DictAspect.java b/openhis-server-new/openhis-common/src/main/java/com/openhis/common/aspectj/DictAspect.java
index c35d38a6..a8fa2b51 100644
--- a/openhis-server-new/openhis-common/src/main/java/com/openhis/common/aspectj/DictAspect.java
+++ b/openhis-server-new/openhis-common/src/main/java/com/openhis/common/aspectj/DictAspect.java
@@ -117,10 +117,7 @@ public class DictAspect {
 
     private String queryDictLabel(String dictTable, String dictCode, String dictText, String dictValue) {
         if (StringUtils.hasText(dictTable)) {
-            // 场景 1：默认字典走DictUtils缓存
-            return DictUtils.getDictLabel(dictCode, dictValue);
-        } else {
-            // 场景 2：查询指定表
+            // 场景 1：查询指定表
             String sql = String.format("SELECT %s FROM %s WHERE %s::varchar = ? LIMIT 1", dictText, dictTable, dictCode);
             try {
                 return jdbcTemplate.queryForObject(sql, String.class, dictValue);
@@ -128,6 +125,9 @@ public class DictAspect {
                 // 如果查询结果为空，返回 空字符串
                 return "";
             }
+        } else {
+            // 场景 2：默认字典走DictUtils缓存
+            return DictUtils.getDictLabel(dictCode, dictValue);
         }
     }
 }
\ No newline at end of file