diff --git a/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/dto/TicketQueryDTO.java b/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/dto/TicketQueryDTO.java
index 429aa6df..458d7ba0 100644
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/dto/TicketQueryDTO.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/dto/TicketQueryDTO.java
@@ -40,4 +40,7 @@ public class TicketQueryDTO implements Serializable {
 
     // 每页显示条数 (默认查20条)
     private Integer limit = 20;
+
+    // 浏览器当前时间戳（用来过滤过期号源，保证前后端一致）
+    private Long currentTime;
 }
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 f2418441..8f6ad801 100644
--- 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
@@ -358,14 +358,22 @@
             p.doctor_id AS doctorId,
             p.doctor_name AS doctorName,
             p.schedule_date AS scheduleDate,
-            COALESCE(
-                SUM(
-                    GREATEST(
-                        COALESCE(p.total_quota, 0) - COALESCE(p.booked_num, 0) - COALESCE(p.locked_num, 0),
-                        0
+            <!-- 直接 COUNT 未预约的号源，前端已经做了时间过滤，这里只按日期统计 -->
+            COUNT(
+                CASE
+                    WHEN s.delete_flag = '0'
+                    AND <include refid="slotStatusNormExpr" /> = 0
+                    <!-- 使用前端传来的当前时间戳过滤过期号源，保证和前端完全一致 -->
+                    AND (
+                        p.schedule_date > CURRENT_DATE
+                        OR (
+                            p.schedule_date = CURRENT_DATE
+                            AND CAST(p.schedule_date AS TIMESTAMP) + CAST(s.expect_time AS TIME) > TO_TIMESTAMP(#{query.currentTime}/1000)
+                        )
                     )
-                ),
-                0
+                    THEN s.id
+                    ELSE NULL
+                END
             ) AS available,
             COUNT(DISTINCT p.id) AS poolCount,
             CASE
@@ -380,10 +388,12 @@
         FROM
             adm_schedule_pool p
             LEFT JOIN adm_doctor_schedule d ON p.schedule_id = d.id
-            LEFT JOIN adm_organization org ON p.dept_id = org.id
-            AND org.delete_flag = '0'
+            LEFT JOIN adm_organization org ON p.dept_id = org.id AND org.delete_flag = '0'
+            LEFT JOIN adm_schedule_slot s ON s.pool_id = p.id AND s.delete_flag = '0'
         <where>
             p.delete_flag = '0'
+            <!-- 排除医生已停诊的号源 -->
+            AND (d.is_stopped IS NULL OR d.is_stopped = FALSE)
             <!-- 过滤未来号源：只统计当前日期及未来日期的号源 -->
             <if test="query.date != null and query.date != ''">
                 AND p.schedule_date = CAST(#{query.date} AS DATE)
diff --git a/openhis-ui-vue3/src/views/appoinmentmanage/outpatientAppointment/index.vue b/openhis-ui-vue3/src/views/appoinmentmanage/outpatientAppointment/index.vue
index b7133271..e98e4ed8 100644
--- a/openhis-ui-vue3/src/views/appoinmentmanage/outpatientAppointment/index.vue
+++ b/openhis-ui-vue3/src/views/appoinmentmanage/outpatientAppointment/index.vue
@@ -697,15 +697,17 @@ export default {
         name: this.patientName?.trim() || null,
         card: this.patientCard?.trim() || null,
         phone: this.patientPhone?.trim() || null,
-        page,
-        limit: this.pageSize
+        page: 1,
+        limit: 1000  // 获取全量数据，前端过滤后再分页，避免过滤后分页错乱
       };
     },
     buildDoctorQueryParams() {
       return {
         date: this.selectedDate,
         type: this.selectedType === 'all' ? null : this.selectedType,
-        department: this.selectedDepartment === 'all' ? null : this.selectedDepartment
+        department: this.selectedDepartment === 'all' ? null : this.selectedDepartment,
+        // 传递浏览器当前时间戳，后端用这个时间过滤过期号源，保证和前端过滤一致
+        currentTime: new Date().getTime()
       };
     },
     handleTicketResponse(ticketResponse) {
@@ -746,15 +748,15 @@ export default {
 
       // 再进行状态过滤
       const filteredRecords = this.applyStatusFilter(timeFilteredRecords);
-      const total = Number(payload.total);
-      this.tickets = [...filteredRecords];
+      // 现在我们获取了全量数据，在前端过滤完成后再分页
+      // 这样保证过滤后分页正确，不会出现第一页空第二页有数据
       this.allTickets = [...filteredRecords];
-      // 当按状态筛选时,优先使用前端过滤后的数量,避免后端状态未生效导致"显示全部"
-      if (this.selectedStatus && this.selectedStatus !== 'all') {
-        this.totalTickets = this.tickets.length;
-      } else {
-        this.totalTickets = Number.isFinite(total) ? total : this.tickets.length;
-      }
+      this.totalTickets = this.allTickets.length;
+
+      // 从过滤后的全量数据中取出当前页
+      const start = (this.currentPage - 1) * this.pageSize;
+      const end = start + this.pageSize;
+      this.tickets = this.allTickets.slice(start, end);
     },
     applyStatusFilter(records = []) {
       if (!Array.isArray(records) || records.length === 0) {
@@ -791,7 +793,8 @@ export default {
         doctorList = data.data;
       }
 
-      this.doctors = doctorList
+      // 初始用后端返回的数据
+      let initialDoctors = doctorList
         .map((doctor, index) => {
           const id = doctor?.id ?? doctor?.doctorId ?? index;
           const available = Number(doctor?.available ?? doctor?.availableNum ?? doctor?.available_num ?? 0);
@@ -804,6 +807,8 @@ export default {
         })
         .filter(doctor => !!doctor.name);
 
+      this.doctors = initialDoctors;
+
       if (this.selectedDoctorId && !this.doctors.some(d => d.id === this.selectedDoctorId)) {
         this.selectedDoctorId = null;
       }