diff --git a/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue b/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue
index 865efff9b..e37251509 100755
--- a/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue
@@ -1057,6 +1057,9 @@ function handleSave() {
       adviceTableName: item.adviceTableName,
       adviceDefinitionId: item.adviceDefinitionId,
       chargeItemId: item.chargeItemId,
+      // 🔧 Bug Fix: 签发时显式设置手术计费关键字段，避免后端 prescription_no / generateSourceEnum 回退为默认值导致查询无法匹配
+      generateSourceEnum: props.generateSourceEnum ?? parsedContent.generateSourceEnum,
+      sourceBillNo: props.sourceBillNo ?? parsedContent.sourceBillNo,
     };
   });
   // 确保 organizationId 不为 undefined（手术计费场景下可能缺失 orgId）