diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/AdviceProcessAppMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/AdviceProcessAppMapper.xml
index 3aa27ecb..c31e33cf 100755
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/AdviceProcessAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/AdviceProcessAppMapper.xml
@@ -280,9 +280,17 @@
                                          aa.balance_amount
                            ) AS personal_account
                               ON personal_account.encounter_id = ae.id
-                     LEFT JOIN med_medication_dispense mmd
+                     LEFT JOIN (
+                        SELECT med_req_id, status_enum
+                        FROM (
+                            SELECT med_req_id, status_enum,
+                                   ROW_NUMBER() OVER (PARTITION BY med_req_id ORDER BY id DESC) AS rn
+                            FROM med_medication_dispense
+                            WHERE delete_flag = '0'
+                        ) t
+                        WHERE rn = 1
+                    ) mmd
                                ON mmd.med_req_id = T1.id
-                                   AND mmd.delete_flag = '0'
                 WHERE T1.delete_flag = '0'
                 AND T1.refund_medicine_id IS NULL
                 AND T1.generate_source_enum = #{doctorPrescription}