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 ef6f7bd16..c92887ae4 100755
--- 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
@@ -660,10 +660,12 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
                 return appointmentOrder.getId();
             }
 
-            // 只有已预约(1)的号源才能退号，对应签到后的 BOOKED 状态
+            // 已预约(1)或已签到(3)的号源都能退号
             ScheduleSlot slot = scheduleSlotMapper.selectById(slotId);
-            if (slot == null || !SlotStatus.BOOKED.getValue().equals(slot.getStatus())) {
-                log.warn("退号跳过：槽位非已预约状态, slotId={}, status={}", slotId,
+            if (slot == null || 
+                (!SlotStatus.BOOKED.getValue().equals(slot.getStatus()) && 
+                 !SlotStatus.CHECKED_IN.getValue().equals(slot.getStatus()))) {
+                log.warn("退号跳过：槽位状态不允许退号, slotId={}, status={}", slotId,
                     slot != null ? slot.getStatus() : null);
                 return appointmentOrder.getId();
             }
@@ -676,11 +678,8 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
 
             Long poolId = scheduleSlotMapper.selectPoolIdBySlotId(slotId);
             if (poolId != null) {
-                schedulePoolMapper.update(null,
-                    new LambdaUpdateWrapper<SchedulePool>()
-                        .setSql("booked_num = booked_num - 1, version = version + 1")
-                        .set(SchedulePool::getUpdateTime, new Date())
-                        .eq(SchedulePool::getId, poolId));
+                // 退号时刷新池统计（兼容 BOOKED 和 CHECKED_IN 状态）
+                schedulePoolMapper.refreshPoolStats(poolId, SlotStatus.BOOKED.getValue(), SlotStatus.LOCKED.getValue());
             }
             return appointmentOrder.getId();
         } catch (Exception e) {
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 fd0ca01fb..8deea84ab 100755
--- 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
@@ -340,8 +340,8 @@
                             OR d.is_stopped = FALSE
                         )
                     </when>
-                    <when test="'checked'.equals(query.status) or '已取号'.equals(query.status)">
-                        AND <include refid="slotStatusNormExpr" /> = 1
+                    <when test="'checked'.equals(query.status) or '已取号'.equals(query.status) or '已签到'.equals(query.status)">
+                        AND (<include refid="slotStatusNormExpr" /> = 1 OR <include refid="slotStatusNormExpr" /> = 3)
                         AND (
                             d.is_stopped IS NULL
                             OR d.is_stopped = FALSE