diff --git a/openhis-server-new/core-common/src/main/java/com/core/common/exception/ServiceException.java b/openhis-server-new/core-common/src/main/java/com/core/common/exception/ServiceException.java
index fcfa3ecf..cb0a8e8b 100644
--- a/openhis-server-new/core-common/src/main/java/com/core/common/exception/ServiceException.java
+++ b/openhis-server-new/core-common/src/main/java/com/core/common/exception/ServiceException.java
@@ -21,7 +21,7 @@ public final class ServiceException extends RuntimeException {
     /**
      * 错误明细，内部调试错误
      *
-     * 和 {@link CommonResult#getDetailMessage()} 一致的设计
+     * 和
      */
     private String detailMessage;
 
diff --git a/openhis-server-new/core-framework/src/main/java/com/core/framework/config/SecurityConfig.java b/openhis-server-new/core-framework/src/main/java/com/core/framework/config/SecurityConfig.java
index cce46c80..10d07f47 100644
--- a/openhis-server-new/core-framework/src/main/java/com/core/framework/config/SecurityConfig.java
+++ b/openhis-server-new/core-framework/src/main/java/com/core/framework/config/SecurityConfig.java
@@ -103,6 +103,9 @@ public class SecurityConfig {
                     // 静态资源，可匿名访问
                     .antMatchers(HttpMethod.GET, "/", "/*.html", "/**/*.html", "/**/*.css", "/**/*.js", "/profile/**")
                     .permitAll()
+                    // WebSocket 握手请求允许匿名访问
+                    .antMatchers("/ws/**", "/test-ws")
+                    .permitAll()
                     .antMatchers("/swagger-ui.html", "/swagger-resources/**", "/webjars/**", "/*/api-docs", "/druid/**")
                     .permitAll()
                     .antMatchers("/patientmanage/information/**")
diff --git a/openhis-server-new/openhis-application/pom.xml b/openhis-server-new/openhis-application/pom.xml
index e6db15b9..dd0efeab 100644
--- a/openhis-server-new/openhis-application/pom.xml
+++ b/openhis-server-new/openhis-application/pom.xml
@@ -69,6 +69,13 @@
             <groupId>org.apache.velocity</groupId>
             <artifactId>velocity-engine-core</artifactId>
         </dependency>
+        
+        <!-- WebSocket 支持 -->
+        <dependency>
+            <groupId>org.springframework.boot</groupId>
+            <artifactId>spring-boot-starter-websocket</artifactId>
+        </dependency>
+        
         <!-- rabbitMQ -->
         <!-- <dependency>
             <groupId>org.springframework.boot</groupId>
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/appservice/TriageQueueAppService.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/appservice/TriageQueueAppService.java
index 27231a19..07012df1 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/appservice/TriageQueueAppService.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/appservice/TriageQueueAppService.java
@@ -1,6 +1,7 @@
 package com.openhis.web.triageandqueuemanage.appservice;
 
 import com.core.common.core.domain.R;
+import com.openhis.web.triageandqueuemanage.dto.CallNumberDisplayResp;
 import com.openhis.web.triageandqueuemanage.dto.TriageQueueActionReq;
 import com.openhis.web.triageandqueuemanage.dto.TriageQueueAddReq;
 import com.openhis.web.triageandqueuemanage.dto.TriageQueueAdjustReq;
@@ -22,6 +23,9 @@ public interface TriageQueueAppService {
     R<?> skip(TriageQueueActionReq req);
     /** 下一患者：当前叫号中 -> 完成，下一位等待 -> 叫号中 */
     R<?> next(TriageQueueActionReq req);
+    
+    /** 叫号显示屏：获取当前叫号和等候队列信息 */
+    CallNumberDisplayResp getDisplayData(Long organizationId, LocalDate date, Integer tenantId);
 }
 
 
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/appservice/impl/TriageQueueAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/appservice/impl/TriageQueueAppServiceImpl.java
index e1606e63..1cddfc12 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/appservice/impl/TriageQueueAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/appservice/impl/TriageQueueAppServiceImpl.java
@@ -10,19 +10,20 @@ import com.openhis.triageandqueuemanage.domain.TriageCandidateExclusion;
 import com.openhis.triageandqueuemanage.service.TriageQueueItemService;
 import com.openhis.triageandqueuemanage.service.TriageCandidateExclusionService;
 import com.openhis.web.triageandqueuemanage.appservice.TriageQueueAppService;
+import com.openhis.web.triageandqueuemanage.dto.CallNumberDisplayResp;
 import com.openhis.web.triageandqueuemanage.dto.TriageQueueActionReq;
 import com.openhis.web.triageandqueuemanage.dto.TriageQueueAddReq;
 import com.openhis.web.triageandqueuemanage.dto.TriageQueueAdjustReq;
 import com.openhis.web.triageandqueuemanage.dto.TriageQueueEncounterItem;
+import com.openhis.web.triageandqueuemanage.websocket.CallNumberWebSocket;
 import org.springframework.stereotype.Service;
 import org.springframework.transaction.annotation.Transactional;
 
 import javax.annotation.Resource;
 import java.time.LocalDate;
 import java.time.LocalDateTime;
-import java.util.Comparator;
-import java.util.List;
-import java.util.Objects;
+import java.util.*;
+import java.util.stream.Collectors;
 
 @Service
 public class TriageQueueAppServiceImpl implements TriageQueueAppService {
@@ -121,6 +122,8 @@ public class TriageQueueAppServiceImpl implements TriageQueueAppService {
                 .setPatientName(it.getPatientName())
                 .setHealthcareName(it.getHealthcareName())
                 .setPractitionerName(it.getPractitionerName())
+                .setPractitionerId(it.getPractitionerId())  // ✅ 新增字段（可选）
+                .setRoomNo(it.getRoomNo())                  // ✅ 新增字段（可选）
                 .setStatus(STATUS_WAITING)
                 .setQueueOrder(++maxOrder)
                 .setDeleteFlag("0")
@@ -238,6 +241,10 @@ public class TriageQueueAppServiceImpl implements TriageQueueAppService {
         if (STATUS_WAITING.equals(selected.getStatus())) {
             selected.setStatus(STATUS_CALLING).setUpdateTime(LocalDateTime.now());
             triageQueueItemService.updateById(selected);
+            
+            // ✅ 叫号后推送 WebSocket 消息
+            pushDisplayUpdate(selected.getOrganizationId(), selected.getQueueDate(), selected.getTenantId());
+            
             return R.ok(true);
         } else if (STATUS_CALLING.equals(selected.getStatus())) {
             // 如果已经是"叫号中"状态，直接返回成功（不做任何操作）
@@ -321,6 +328,10 @@ public class TriageQueueAppServiceImpl implements TriageQueueAppService {
         }
 
         recalcOrders(actualOrgId, null);
+        
+        // ✅ 完成后推送 WebSocket 消息
+        pushDisplayUpdate(actualOrgId, calling.getQueueDate(), tenantId);
+        
         return R.ok(true);
     }
 
@@ -413,6 +424,10 @@ public class TriageQueueAppServiceImpl implements TriageQueueAppService {
         triageQueueItemService.updateById(next);
 
         recalcOrders(actualOrgId, null);
+        
+        // ✅ 过号重排后推送 WebSocket 消息
+        pushDisplayUpdate(actualOrgId, calling.getQueueDate(), tenantId);
+        
         return R.ok(true);
     }
 
@@ -551,6 +566,179 @@ public class TriageQueueAppServiceImpl implements TriageQueueAppService {
             i++;
         }
     }
+    
+    /**
+     * 获取叫号显示屏数据
+     * @param organizationId 科室ID
+     * @param date 日期
+     * @param tenantId 租户ID
+     * @return 显示屏数据
+     */
+    @Override
+    public CallNumberDisplayResp getDisplayData(Long organizationId, LocalDate date, Integer tenantId) {
+        // 如果没有传入租户ID，尝试从登录用户获取，否则默认为1
+        if (tenantId == null) {
+            try {
+                tenantId = SecurityUtils.getLoginUser().getTenantId();
+            } catch (Exception e) {
+                tenantId = 1; // 默认租户ID
+            }
+        }
+        LocalDate qd = date != null ? date : LocalDate.now();
+
+        /**
+         * 查询所有队列项（WAITING 和 CALLING 状态）某天的某个科室的某个状态
+         *
+         */
+        List<TriageQueueItem> allItems = triageQueueItemService.list(
+            new LambdaQueryWrapper<TriageQueueItem>()
+                .eq(TriageQueueItem::getQueueDate, qd)
+                .eq(TriageQueueItem::getOrganizationId, organizationId)
+                .eq(TriageQueueItem::getTenantId, tenantId)
+                .in(TriageQueueItem::getStatus, STATUS_WAITING, STATUS_CALLING)
+                .eq(TriageQueueItem::getDeleteFlag, "0")
+                .orderByAsc(TriageQueueItem::getQueueOrder)
+        );
+        
+        CallNumberDisplayResp resp = new CallNumberDisplayResp();
+        
+        // 1. 获取科室名称（从第一条数据中取）
+        if (!allItems.isEmpty()) {
+            resp.setDepartmentName(allItems.get(0).getOrganizationName() + " 叫号显示屏");
+        } else {
+            resp.setDepartmentName("叫号显示屏");
+        }
+        
+        // 2. 查找当前叫号中的患者（CALLING 状态）
+        TriageQueueItem callingItem = allItems.stream()
+            .filter(item -> STATUS_CALLING.equals(item.getStatus()))
+            .findFirst()
+            .orElse(null);
+        
+        if (callingItem != null) {
+            CallNumberDisplayResp.CurrentCallInfo currentCall = new CallNumberDisplayResp.CurrentCallInfo();
+            currentCall.setNumber(callingItem.getQueueOrder());
+            currentCall.setName(maskPatientName(callingItem.getPatientName()));
+            currentCall.setRoom(callingItem.getRoomNo() != null ? callingItem.getRoomNo() : "1号");
+            currentCall.setDoctor(callingItem.getPractitionerName());
+            resp.setCurrentCall(currentCall);
+        } else {
+            // 没有叫号中的患者，返回默认值
+            CallNumberDisplayResp.CurrentCallInfo currentCall = new CallNumberDisplayResp.CurrentCallInfo();
+            currentCall.setNumber(null);
+            currentCall.setName("-");
+            currentCall.setRoom("-");
+            currentCall.setDoctor("-");
+            resp.setCurrentCall(currentCall);
+        }
+        
+        // 3. 按医生分组（包括 CALLING 和 WAITING 状态）
+        Map<Long, List<TriageQueueItem>> groupedByDoctor = allItems.stream()
+            // 严格按医生分组：仅保留有 practitionerId 的记录
+            .filter(item -> item.getPractitionerId() != null)
+            .collect(Collectors.groupingBy(TriageQueueItem::getPractitionerId));
+
+        // 每个医生的等待队列
+        List<CallNumberDisplayResp.DoctorGroup> waitingList = new ArrayList<>();
+        int totalWaiting = 0;
+        
+        for (Map.Entry<Long, List<TriageQueueItem>> entry : groupedByDoctor.entrySet()) {
+
+            List<TriageQueueItem> doctorItems = entry.getValue();
+            String doctorName = doctorItems.get(0).getPractitionerName();
+            if (doctorName == null || doctorName.isEmpty()) {
+                doctorName = "未分配";
+            }
+            // 按排队顺序排序
+            doctorItems.sort(Comparator.comparing(TriageQueueItem::getQueueOrder));
+
+            // 该医生 下边的患者列表 和 诊室号
+            CallNumberDisplayResp.DoctorGroup doctorGroup = new CallNumberDisplayResp.DoctorGroup();
+            doctorGroup.setDoctorName(doctorName);
+            
+            // 获取诊室号（从该医生的任一患者中取）
+            String roomNo = doctorItems.stream()
+                .map(TriageQueueItem::getRoomNo)
+                .filter(Objects::nonNull)
+                .findFirst()
+                .orElse("1号");
+            doctorGroup.setRoomNo(roomNo);
+            
+            // 转换患者列表
+            List<CallNumberDisplayResp.PatientInfo> patients = new ArrayList<>();
+            for (TriageQueueItem item : doctorItems) {
+                CallNumberDisplayResp.PatientInfo patient = new CallNumberDisplayResp.PatientInfo();
+                patient.setId(item.getId());
+                patient.setName(maskPatientName(item.getPatientName()));
+                patient.setStatus(item.getStatus());
+                patient.setQueueOrder(item.getQueueOrder());
+                patients.add(patient);
+                
+                // 统计等待人数（不包括 CALLING 状态）
+                if (STATUS_WAITING.equals(item.getStatus())) {
+                    totalWaiting++;
+                }
+            }
+            
+            doctorGroup.setPatients(patients);
+            waitingList.add(doctorGroup);
+        }
+
+        
+        // 按医生名称排序
+        waitingList.sort(Comparator.comparing(CallNumberDisplayResp.DoctorGroup::getDoctorName));
+        
+        resp.setWaitingList(waitingList);
+        resp.setWaitingCount(totalWaiting);
+        
+        return resp;
+    }
+    
+    /**
+     * 患者姓名脱敏处理
+     * @param name 原始姓名
+     * @return 脱敏后的姓名（如：张*三）
+     */
+    private String maskPatientName(String name) {
+        if (name == null || name.isEmpty()) {
+            return "-";
+        }
+        if (name.length() == 1) {
+            return name;
+        }
+        if (name.length() == 2) {
+            return name.charAt(0) + "*";
+        }
+        // 3个字及以上：保留首尾，中间用*代替
+        return name.charAt(0) + "*" + name.charAt(name.length() - 1);
+    }
+    
+    /**
+     * 推送显示屏更新消息到 WebSocket
+     * @param organizationId 科室ID
+     * @param queueDate 队列日期
+     * @param tenantId 租户ID
+     */
+    private void pushDisplayUpdate(Long organizationId, LocalDate queueDate, Integer tenantId) {
+        try {
+            // 获取最新的显示屏数据
+            CallNumberDisplayResp displayData = getDisplayData(organizationId, queueDate, tenantId);
+            
+            // 构造推送消息
+            Map<String, Object> message = new HashMap<>();
+            message.put("type", "update");
+            message.put("action", "queue_changed");
+            message.put("data", displayData);
+            message.put("timestamp", System.currentTimeMillis());
+            
+            // 推送到该科室的所有 WebSocket 连接
+            CallNumberWebSocket.pushToOrganization(organizationId, message);
+            
+        } catch (Exception e) {
+            // WebSocket 推送失败不应该影响业务逻辑
+            System.err.println("推送显示屏更新失败：" + e.getMessage());
+        }
+    }
 }
 
 
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/controller/TriageQueueController.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/controller/TriageQueueController.java
index 5697a499..53d44177 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/controller/TriageQueueController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/controller/TriageQueueController.java
@@ -1,12 +1,16 @@
 package com.openhis.web.triageandqueuemanage.controller;
 
+import com.core.common.annotation.Anonymous;
 import com.core.common.core.domain.R;
+import com.core.common.utils.SecurityUtils;
 import com.openhis.web.triageandqueuemanage.appservice.TriageQueueAppService;
+import com.openhis.web.triageandqueuemanage.dto.CallNumberDisplayResp;
 import com.openhis.web.triageandqueuemanage.dto.TriageQueueActionReq;
 import com.openhis.web.triageandqueuemanage.dto.TriageQueueAddReq;
 import com.openhis.web.triageandqueuemanage.dto.TriageQueueAdjustReq;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.format.annotation.DateTimeFormat;
+import org.springframework.util.StringUtils;
 import org.springframework.web.bind.annotation.*;
 
 import javax.annotation.Resource;
@@ -65,6 +69,62 @@ public class TriageQueueController {
     public R<?> next(@RequestBody(required = false) TriageQueueActionReq req) {
         return triageQueueAppService.next(req);
     }
+    
+    /**
+     * 叫号显示屏：获取当前叫号和等候队列信息
+     * @param organizationId 科室ID
+     * @param date 日期（可选，默认今天）
+     * @param tenantId 租户ID（可选，默认1）
+     * @return 显示屏数据
+     */
+    @Anonymous  // 显示屏不需要登录
+    @GetMapping("/display")
+    public R<CallNumberDisplayResp> getDisplayData(
+        @RequestParam(required = false) String organizationId,
+        @RequestParam(required = false) @DateTimeFormat(pattern = "yyyy-MM-dd") LocalDate date,
+        @RequestParam(required = false) Integer tenantId
+    ) {
+        try {
+            Long orgId = resolveOrganizationId(organizationId);
+            if (orgId == null) {
+                return R.fail("organizationId参数不合法或未获取到登录用户科室");
+            }
+            Integer actualTenantId = resolveTenantId(tenantId);
+            CallNumberDisplayResp data = triageQueueAppService.getDisplayData(orgId, date, actualTenantId);
+            return R.ok(data);
+        } catch (Exception e) {
+            log.error("获取显示屏数据失败", e);
+            return R.fail("获取显示屏数据失败：" + e.getMessage());
+        }
+    }
+
+    private Long resolveOrganizationId(String organizationId) {
+        if (!StringUtils.hasText(organizationId)) {
+            try {
+                return SecurityUtils.getLoginUser().getOrgId();
+            } catch (Exception e) {
+                return null;
+            }
+        }
+        try {
+            return Long.parseLong(organizationId.trim());
+        } catch (NumberFormatException e) {
+            log.warn("非法organizationId: {}", organizationId);
+            return null;
+        }
+    }
+
+    private Integer resolveTenantId(Integer tenantId) {
+        if (tenantId != null) {
+            return tenantId;
+        }
+        try {
+            Integer loginTenantId = SecurityUtils.getLoginUser().getTenantId();
+            return loginTenantId != null ? loginTenantId : 1;
+        } catch (Exception e) {
+            return 1;
+        }
+    }
 }
 
 
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/dto/TriageQueueEncounterItem.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/dto/TriageQueueEncounterItem.java
index 09d6ea87..baf0222e 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/dto/TriageQueueEncounterItem.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/dto/TriageQueueEncounterItem.java
@@ -9,6 +9,12 @@ public class TriageQueueEncounterItem {
     private String patientName;
     private String healthcareName;
     private String practitionerName;
+    
+    // ========== 新增字段（可选，用于叫号显示屏）==========
+    /** 医生ID（可选） */
+    private Long practitionerId;
+    /** 诊室号（可选） */
+    private String roomNo;
 }
 
 
diff --git a/openhis-server-new/openhis-domain/src/main/java/com/openhis/triageandqueuemanage/domain/TriageQueueItem.java b/openhis-server-new/openhis-domain/src/main/java/com/openhis/triageandqueuemanage/domain/TriageQueueItem.java
index 83aaba54..575707b0 100644
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/triageandqueuemanage/domain/TriageQueueItem.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/triageandqueuemanage/domain/TriageQueueItem.java
@@ -18,21 +18,23 @@ public class TriageQueueItem {
     @TableId(type = IdType.AUTO)
     private Long id;
 
-    private Integer tenantId;
-    private LocalDate queueDate;
-    private Long organizationId;
-    private String organizationName;
+    private Integer tenantId;              // 租户ID
+    private LocalDate queueDate;           // 队列日期
+    private Long organizationId;           // 科室ID
+    private String organizationName;       // 科室名称
 
     private Long encounterId;
-    private Long patientId;
-    private String patientName;
+    private Long patientId;                // 患者ID
+    private String patientName;            // 患者姓名（脱敏）
 
-    private String healthcareName;
-    private String practitionerName;
+    private String healthcareName;         // 挂号类型（普通/专家）
+    private String practitionerName;       // 医生姓名
+    private Long practitionerId;           // 医生ID（新增字段）
+    private String roomNo;                 // 诊室号（新增字段）
 
     /** WAITING / CALLING / SKIPPED / COMPLETED */
     private String status;
-    private Integer queueOrder;
+    private Integer queueOrder; //“排队序号”，也就是患者在当前科室、当天队列里的 顺序号（从 1 开始递增）。
 
     private LocalDateTime createTime;
     private LocalDateTime updateTime;
diff --git a/openhis-ui-vue3/src/views/triageandqueuemanage/callnumberdisplay/index.vue b/openhis-ui-vue3/src/views/triageandqueuemanage/callnumberdisplay/index.vue
index b4c6fa4c..f18fbf63 100644
--- a/openhis-ui-vue3/src/views/triageandqueuemanage/callnumberdisplay/index.vue
+++ b/openhis-ui-vue3/src/views/triageandqueuemanage/callnumberdisplay/index.vue
@@ -1,9 +1,14 @@
 <template>
-  <div class="call-number-display">
+  <div class="call-number-display" ref="screenContainer">
     <!-- 头部区域 -->
     <div class="header">
       <h1>{{ departmentName }}</h1>
-      <div class="time">{{ currentTime }}</div>
+      <div class="header-right">
+        <button class="fullscreen-btn" @click="toggleFullscreen">
+          {{ isFullscreen ? '退出全屏' : '全屏' }}
+        </button>
+        <div class="time">{{ currentTime }}</div>
+      </div>
     </div>
     
     <!-- 当前呼叫区 -->
@@ -31,19 +36,19 @@
             </tr>
           </thead>
           <tbody>
-            <template v-for="doctorName in paginatedDoctors" :key="doctorName">
+            <template v-for="doctorName in paginatedDoctors">
               <template v-if="groupedPatients[doctorName]">
                 <!-- 医生分组标题 -->
-                <tr class="doctor-header">
+                <tr class="doctor-header" :key="`doctor-${doctorName}`">
                   <td colspan="4">{{ doctorName }} 医生 (诊室: {{ getDoctorRoom(doctorName) }})</td>
                 </tr>
                 <!-- 患者列表 -->
-                <tr v-for="(patient, index) in groupedPatients[doctorName]" :key="patient.id">
+                <tr v-for="(patient, index) in groupedPatients[doctorName]" :key="`${doctorName}-${patient.id}`">
                   <td>{{ index + 1 }}</td>
-                  <td>{{ formatPatientName(patient.name) }}</td>
+                  <td>{{ patient.name }}</td>
                   <td>{{ getDoctorRoom(doctorName) }}</td>
-                  <td :style="{ color: index === 0 ? '#e74c3c' : '#27ae60' }">
-                    {{ index === 0 ? '就诊中' : '等待' }}
+                  <td :style="{ color: patient.status === 'CALLING' ? '#e74c3c' : '#27ae60' }">
+                    {{ patient.status === 'CALLING' ? '就诊中' : '等待' }}
                   </td>
                 </tr>
               </template>
@@ -88,49 +93,64 @@
 
 <script setup>
 import { ref, reactive, computed, onMounted, onUnmounted, nextTick, watchEffect } from 'vue'
+import { storeToRefs } from 'pinia'
 import { ElMessage } from 'element-plus'
 import dayjs from 'dayjs'
+import request from '@/utils/request'
+import useUserStore from '@/store/modules/user'
+
+// ========== 配置参数 ==========
+const userStore = useUserStore()
+const { orgId: userOrgId, tenantId: userTenantId } = storeToRefs(userStore)
+
+// 从登录用户获取科室ID（避免硬编码；后端已确保 orgId 以字符串返回）
+const ORGANIZATION_ID = computed(() => (userOrgId.value ? String(userOrgId.value) : ''))
+const TENANT_ID = computed(() => (userTenantId.value ? Number(userTenantId.value) : 1))
+const API_BASE_URL = '/triage/queue'
+// WebSocket 地址（通过 Nginx 代理，路径需要加 /openhis 前缀）
+const WS_URL = computed(
+  () => `ws://${window.location.hostname}:18080/openhis/ws/call-number-display/${ORGANIZATION_ID.value}`
+)
 
 // 响应式数据
 const currentTime = ref('')
-const currentCall = ref({
-  number: '1',
-  name: '李*四',
-  room: '3号'
-})
+const currentCall = ref(null)
 const patients = ref([])
 const loading = ref(false)
 const currentPage = ref(1)
 const patientsPerPage = 5
 const autoScrollInterval = ref(null)
 const scrollInterval = 5000 // 5秒自动翻页
+const wsConnection = ref(null) // WebSocket 连接
+const timeInterval = ref(null)
+const isFullscreen = ref(false)
+const screenContainer = ref(null)
+let tableContainer = null
 
 // 科室名称
-const departmentName = ref('心内科叫号显示屏幕')
+const departmentName = ref('叫号显示屏幕')
 
-// 计算属性
+const applyDefaultDepartmentName = () => {
+  if (userStore.orgName) {
+    departmentName.value = `${userStore.orgName} 叫号显示屏`
+  }
+}
+
+// 等待总人数（从后端返回）
+const waitingCount = ref(0)
+
+// 计算属性：按医生分组的患者列表
 const groupedPatients = computed(() => {
   const grouped = {}
-  patients.value.forEach(patient => {
-    if (!grouped[patient.doctor]) {
-      grouped[patient.doctor] = []
-    }
-    grouped[patient.doctor].push(patient)
+  patients.value.forEach(doctorGroup => {
+    grouped[doctorGroup.doctorName] = doctorGroup.patients || []
   })
   return grouped
 })
 
-const waitingCount = computed(() => {
-  let count = 0
-  Object.values(groupedPatients.value).forEach(group => {
-    count += Math.max(0, group.length - 1) // 排除每个医生组中第一个就诊中的患者
-  })
-  return count
-})
-
 // 获取排序后的医生列表
 const sortedDoctors = computed(() => {
-  return Object.keys(groupedPatients.value).sort()
+  return patients.value.map(group => group.doctorName)
 })
 
 // 按医生分组的分页逻辑
@@ -159,6 +179,24 @@ const updateTime = () => {
   currentTime.value = now.format('YYYY-MM-DD HH:mm')
 }
 
+const updateFullscreenState = () => {
+  const isActive = !!document.fullscreenElement
+  isFullscreen.value = isActive
+  document.body.classList.toggle('call-screen-fullscreen', isActive)
+}
+
+const toggleFullscreen = async () => {
+  try {
+    if (document.fullscreenElement) {
+      await document.exitFullscreen()
+    } else if (screenContainer.value && screenContainer.value.requestFullscreen) {
+      await screenContainer.value.requestFullscreen()
+    }
+  } catch (error) {
+    console.error('切换全屏失败:', error)
+  }
+}
+
 const formatPatientName = (name) => {
   if (!name || typeof name !== 'string') return '-'
   if (name.length === 0) return '-'
@@ -166,49 +204,98 @@ const formatPatientName = (name) => {
 }
 
 const getDoctorRoom = (doctorName) => {
-  // 根据医生获取固定诊室
-  const doctorRooms = {
-    '张医生': '3号',
-    '李医生': '1号', 
-    '王医生': '2号'
-  }
-  return doctorRooms[doctorName] || '1号'
+  // 从后端数据中查找医生的诊室号
+  const doctorGroup = patients.value.find(group => group.doctorName === doctorName)
+  return doctorGroup?.roomNo || '1号'
 }
 
-const generateWaitingData = async () => {
+const ensureUserInfo = async () => {
+  if (!userStore.orgId) {
+    try {
+      await userStore.getInfo()
+    } catch (error) {
+      console.error('获取用户信息失败:', error)
+    }
+  }
+  applyDefaultDepartmentName()
+}
+
+/**
+ * 获取显示屏数据（从后端API）
+ */
+const fetchDisplayData = async () => {
   try {
+    if (!ORGANIZATION_ID.value) {
+      ElMessage.warning('未获取到登录用户科室信息')
+      return
+    }
     loading.value = true
     
-    // 确保数组已正确初始化
-    if (!Array.isArray(patients.value)) {
-      patients.value = []
+    console.log('正在获取显示屏数据...', {
+      url: `${API_BASE_URL}/display`,
+      organizationId: ORGANIZATION_ID.value,
+      tenantId: TENANT_ID.value
+    })
+    
+    const response = await request({
+      url: `${API_BASE_URL}/display`,
+      method: 'get',
+      params: {
+        organizationId: ORGANIZATION_ID.value,
+        tenantId: TENANT_ID.value
+      }
+    })
+    
+    console.log('后端响应：', response)
+    
+    if (response.code === 200 && response.data) {
+      const data = response.data
+      
+      // 更新科室名称
+      if (data.departmentName && data.departmentName !== '叫号显示屏') {
+        departmentName.value = data.departmentName
+      } else {
+        applyDefaultDepartmentName()
+      }
+      
+      // 更新当前叫号信息
+      if (data.currentCall) {
+        currentCall.value = data.currentCall
+      } else {
+        currentCall.value = {
+          number: null,
+          name: '-',
+          room: '-',
+          doctor: '-'
+        }
+      }
+      
+      // 更新等候队列（按医生分组）
+      if (data.waitingList && Array.isArray(data.waitingList)) {
+        patients.value = data.waitingList
+        console.log('等候队列数据：', data.waitingList)
+      } else {
+        patients.value = []
+        console.log('等候队列为空')
+      }
+      
+      // 更新等待人数
+      waitingCount.value = data.waitingCount || 0
+      
+      console.log('显示屏数据更新成功', data)
+      ElMessage.success('数据加载成功')
+    } else {
+      throw new Error(response.msg || '获取数据失败')
     }
-    
-    // 模拟API调用获取候诊数据
-    // 实际项目中这里应该调用真实API
-    const mockData = [
-      { id: 13, name: '李四', type: '专家', doctor: '张医生', status: '就诊中' },
-      { id: 14, name: '王五', type: '普通', doctor: '李医生', status: '候诊中' },
-      { id: 15, name: '赵六', type: '专家', doctor: '张医生', status: '候诊中' },
-      { id: 16, name: '钱七', type: '普通', doctor: '王医生', status: '候诊中' },
-      { id: 17, name: '孙八', type: '专家', doctor: '李医生', status: '候诊中' },
-      { id: 18, name: '周九', type: '普通', doctor: '王医生', status: '候诊中' },
-      { id: 19, name: '吴十', type: '专家', doctor: '张医生', status: '候诊中' },
-      { id: 20, name: '郑一', type: '普通', doctor: '李医生', status: '候诊中' },
-      { id: 21, name: '王二', type: '专家', doctor: '王医生', status: '候诊中' },
-      { id: 22, name: '李三', type: '普通', doctor: '张医生', status: '候诊中' },
-      { id: 23, name: '赵四', type: '专家', doctor: '李医生', status: '候诊中' },
-      { id: 24, name: '钱五', type: '普通', doctor: '王医生', status: '候诊中' }
-    ]
-    
-    // 模拟网络延迟
-    await new Promise(resolve => setTimeout(resolve, 500))
-    patients.value = mockData
   } catch (error) {
-    console.error('获取候诊数据失败:', error)
-    ElMessage.error('获取候诊数据失败')
-    // 出错时设置为空数组
+    console.error('获取显示屏数据失败:', error)
+    ElMessage.error('获取显示屏数据失败：' + (error.message || '未知错误'))
+    
+    // 出错时设置默认值
     patients.value = []
+    currentCall.value = { number: null, name: '-', room: '-', doctor: '-' }
+    waitingCount.value = 0
+    applyDefaultDepartmentName()
   } finally {
     loading.value = false
   }
@@ -259,40 +346,177 @@ const stopAutoScroll = () => {
   }
 }
 
+/**
+ * 初始化 WebSocket 连接
+ */
+const initWebSocket = () => {
+  try {
+    if (!ORGANIZATION_ID.value) {
+      console.warn('未获取到科室ID，跳过 WebSocket 连接')
+      return
+    }
+    console.log('正在连接 WebSocket:', WS_URL.value)
+    wsConnection.value = new WebSocket(WS_URL.value)
+    
+    wsConnection.value.onopen = () => {
+      console.log('WebSocket 连接成功')
+      ElMessage.success('实时连接已建立')
+    }
+    
+    wsConnection.value.onmessage = (event) => {
+      try {
+        const message = JSON.parse(event.data)
+        console.log('收到 WebSocket 消息:', message)
+        
+        if (message.type === 'connected') {
+          console.log('WebSocket 连接确认:', message.message)
+        } else if (message.type === 'update') {
+          // 收到更新消息，刷新显示屏数据
+          console.log('收到更新通知，刷新显示屏数据')
+          handleWebSocketUpdate(message.data)
+        } else if (message.type === 'pong') {
+          // 心跳响应
+          console.log('心跳响应')
+        }
+      } catch (error) {
+        console.error('解析 WebSocket 消息失败:', error)
+      }
+    }
+    
+    wsConnection.value.onerror = (error) => {
+      console.error('WebSocket 错误:', error)
+      ElMessage.error('实时连接出现错误')
+    }
+    
+    wsConnection.value.onclose = () => {
+      console.log('WebSocket 连接关闭，5秒后重连')
+      setTimeout(() => {
+        if (!wsConnection.value || wsConnection.value.readyState === WebSocket.CLOSED) {
+          initWebSocket()
+        }
+      }, 5000)
+    }
+    
+    // 心跳检测：每30秒发送一次 ping
+    setInterval(() => {
+      if (wsConnection.value && wsConnection.value.readyState === WebSocket.OPEN) {
+        wsConnection.value.send('ping')
+      }
+    }, 30000)
+    
+  } catch (error) {
+    console.error('初始化 WebSocket 失败:', error)
+  }
+}
+
+/**
+ * 处理 WebSocket 推送的更新数据
+ */
+const handleWebSocketUpdate = (data) => {
+  if (!data) return
+  
+  // 更新科室名称
+  if (data.departmentName) {
+    departmentName.value = data.departmentName
+  }
+  
+  // 更新当前叫号信息
+  if (data.currentCall) {
+    currentCall.value = data.currentCall
+  }
+  
+  // 更新等候队列
+  if (data.waitingList && Array.isArray(data.waitingList)) {
+    patients.value = data.waitingList
+  }
+  
+  // 更新等待人数
+  if (data.waitingCount !== undefined) {
+    waitingCount.value = data.waitingCount
+  }
+  
+  console.log('显示屏数据已更新（来自 WebSocket）')
+  
+  // 播放语音（如果有新的叫号）
+  if (data.currentCall && data.currentCall.number) {
+    playVoiceNotification(data.currentCall)
+  }
+}
+
+/**
+ * 播放语音通知
+ */
+const playVoiceNotification = (callInfo) => {
+  if (!callInfo || !callInfo.number) return
+  
+  try {
+    // 使用 Web Speech API 播放语音
+    const utterance = new SpeechSynthesisUtterance(
+      `请${callInfo.number}号${callInfo.name}到${callInfo.room}诊室就诊`
+    )
+    utterance.lang = 'zh-CN'
+    utterance.rate = 0.9 // 语速
+    utterance.pitch = 1.0 // 音调
+    utterance.volume = 1.0 // 音量
+    
+    window.speechSynthesis.speak(utterance)
+  } catch (error) {
+    console.error('语音播放失败:', error)
+  }
+}
+
+/**
+ * 关闭 WebSocket 连接
+ */
+const closeWebSocket = () => {
+  if (wsConnection.value) {
+    wsConnection.value.close()
+    wsConnection.value = null
+    console.log('WebSocket 连接已关闭')
+  }
+}
+
 // 生命周期钩子
 onMounted(async () => {
+  document.addEventListener('fullscreenchange', updateFullscreenState)
+  await ensureUserInfo()
   // 初始化时间
   updateTime()
   // 每分钟更新时间
-  const timeInterval = setInterval(updateTime, 60000)
+  timeInterval.value = setInterval(updateTime, 60000)
   
-  // 获取候诊数据
-  await generateWaitingData()
+  // ✅ 获取初始数据（从后端 API）
+  await fetchDisplayData()
+  
+  // ✅ 初始化 WebSocket 连接（实时推送）
+  initWebSocket()
   
   // 启动自动滚动
   startAutoScroll()
   
   // 鼠标悬停时暂停自动滚动
-  const tableContainer = document.querySelector('.table-container')
+  tableContainer = document.querySelector('.table-container')
   if (tableContainer) {
     tableContainer.addEventListener('mouseenter', stopAutoScroll)
     tableContainer.addEventListener('mouseleave', startAutoScroll)
   }
-  
-  // 组件卸载时清理
-  onUnmounted(() => {
-    clearInterval(timeInterval)
-    stopAutoScroll()
-    if (tableContainer) {
-      tableContainer.removeEventListener('mouseenter', stopAutoScroll)
-      tableContainer.removeEventListener('mouseleave', startAutoScroll)
-    }
-  })
 })
 
 onUnmounted(() => {
   // 组件卸载时的清理工作
+  if (timeInterval.value) {
+    clearInterval(timeInterval.value)
+    timeInterval.value = null
+  }
   stopAutoScroll()
+  closeWebSocket() // ✅ 关闭 WebSocket 连接
+  if (tableContainer) {
+    tableContainer.removeEventListener('mouseenter', stopAutoScroll)
+    tableContainer.removeEventListener('mouseleave', startAutoScroll)
+    tableContainer = null
+  }
+  document.removeEventListener('fullscreenchange', updateFullscreenState)
+  document.body.classList.remove('call-screen-fullscreen')
 })
 
 // 监听页面变化，重置滚动位置
@@ -317,6 +541,43 @@ watchEffect(() => {
   flex-direction: column;
 }
 
+:global(body.call-screen-fullscreen) {
+  overflow: hidden;
+  background: #f5f7fa;
+}
+
+:global(body.call-screen-fullscreen .sidebar-wrapper),
+:global(body.call-screen-fullscreen .navbar),
+:global(body.call-screen-fullscreen .tags-view-container),
+:global(body.call-screen-fullscreen #tags-view-container),
+:global(body.call-screen-fullscreen .drawer-bg) {
+  display: none !important;
+}
+
+:global(body.call-screen-fullscreen .app-wrapper),
+:global(body.call-screen-fullscreen .main-wrapper),
+:global(body.call-screen-fullscreen .content-wrapper),
+:global(body.call-screen-fullscreen .app-main) {
+  width: 100% !important;
+  height: 100% !important;
+  margin: 0 !important;
+  padding: 0 !important;
+}
+
+:global(body.call-screen-fullscreen .app-wrapper) {
+  height: 100vh !important;
+}
+
+:global(body.call-screen-fullscreen .call-number-display) {
+  max-width: none;
+  width: 100vw;
+  height: 100vh;
+  min-height: 100vh;
+  margin: 0;
+  border-radius: 0;
+  box-shadow: none;
+}
+
 /* 头部样式 */
 .header {
   background: linear-gradient(135deg, #4a90e2, #5fa3e8);
@@ -342,6 +603,28 @@ watchEffect(() => {
     padding: 5px 15px;
     border-radius: 30px;
   }
+
+  .header-right {
+    display: flex;
+    align-items: center;
+    gap: 12px;
+  }
+
+  .fullscreen-btn {
+    border: 1px solid rgba(255, 255, 255, 0.6);
+    background: rgba(255, 255, 255, 0.15);
+    color: #fff;
+    padding: 6px 14px;
+    border-radius: 20px;
+    font-size: 14px;
+    cursor: pointer;
+    transition: background 0.2s ease, border-color 0.2s ease;
+  }
+
+  .fullscreen-btn:hover {
+    background: rgba(255, 255, 255, 0.28);
+    border-color: rgba(255, 255, 255, 0.9);
+  }
 }
 
 /* 当前呼叫区 */