diff --git a/apps/web-antd/src/views/business/chat/components/MessageBubble.vue b/apps/web-antd/src/views/business/chat/components/MessageBubble.vue
index fa6e1b57..e9f7af68 100644
--- a/apps/web-antd/src/views/business/chat/components/MessageBubble.vue
+++ b/apps/web-antd/src/views/business/chat/components/MessageBubble.vue
@@ -6,16 +6,29 @@ import { useUserStore } from '@vben/stores';
 
 import {Avatar, Button, Image} from 'ant-design-vue';
 
+import {getChatMessageRegisterInfoApi} from "#/views/business/chat/api";
 import {getPrescriptionCheckStatusApi} from "#/views/business/order/prescription/api";
 import PrescriptionDetail from '#/views/doctor/doctor-reception/components/PrescriptionDetail.vue';
 
 import previewMedia from '../composables/useMediaPreview.ts';
 import {useThemeStore} from '../stores/theme.ts';
 import AudioMessage from './AudioMessage.vue';
+import {receptionApi} from "#/views/doctor/doctor-reception/api";
+import {useChatStore} from "#/views/business/chat/stores/chat";
+import { useUserStore as chatUseUserStore } from '../stores/user';
+import {sendMessage} from "#/views/business/chat/utils/request";
+import RefusalOfTreatmentModal
+  from "#/views/doctor/doctor-reception/components/RefusalOfTreatmentModal.vue";
 
+const chatUserStore = chatUseUserStore();
 const userStore = useUserStore();
+const chatStore = useChatStore();
 const themeStore = useThemeStore();
 
+const [RefusalOfTreatmentModals, RefusalOfTreatmentModalApi] = useVbenModal({
+  connectedComponent: RefusalOfTreatmentModal,
+});
+
 const props = defineProps({
   message: {
     type: Object,
@@ -52,19 +65,22 @@ const prescriptionStatusMap = {
   2: '未通过',
 };
 
-// 添加挂号状态映射
+// 添加挂号状态映射 0待支付1已支付待接诊2接诊中3已结束4已取消5待评价6已评价7已拒诊
 const registerStatusMap = {
-  0: '待就诊',
-  1: '已缴费',
-  2: '已就诊',
-  3: '已取消',
-  4: '已退费'
+  0: '待支付',
+  1: '待接诊',
+  2: '接诊中',
+  3: '已结束',
+  4: '已取消',
+  5: '待评价',
+  6: '已评价',
+  7: '已拒诊',
 };
 
 // 添加支付状态映射
 const payStatusMap = {
   0: '未支付',
-  1: '已支付'
+  1: '已支付',
 };
 
 const checkPrescriptionStatus = (id) => {
@@ -76,26 +92,48 @@ const checkPrescriptionStatus = (id) => {
   })
 };
 
+const getRegisterCardInfo = () => {
+  getChatMessageRegisterInfoApi({ id: props.message.content.id }).then((res) => {
+    // eslint-disable-next-line vue/no-mutating-props
+    props.message.content = res;
+  });
+};
+
 // 接诊操作
 const acceptRegister = async (registerId, orderNo) => {
   if (registerOperating.value) return;
 
   registerOperating.value = true;
 
+
   try {
     // 模拟API调用
-    await new Promise(resolve => setTimeout(resolve, 1500));
 
-    // 更新消息状态
-    if (props.message.content && props.message.content.id === registerId) {
-      props.message.content.status = 2; // 已就诊
-    }
+    receptionApi(registerId).then(async (value) => {
+      // message.success('接诊成功');
+      // 更新消息状态
+      getRegisterCardInfo();
 
-    // 显示成功提示
-    console.log(`接诊成功 - 挂号ID: ${registerId}, 订单号: ${orderNo}`);
+      const messageObj = {
+        type: 'text',
+        content: '我已接诊，请简单说明您的情况~',
+        time: new Date().toLocaleTimeString().slice(0, 5),
+        senderId: `${chatUserStore.currentUser.id}`,
+        receiverId: chatStore.currentFriend.id,
+        isSent: true,
+        read: true,
+        duration: 0,
+      };
 
-    // 这里可以调用实际的API
-    // await acceptRegisterApi({ id: registerId, order_no: orderNo });
+      chatStore.addMessage(messageObj, chatUserStore.currentUser.id);
+      await sendMessage({
+        senderId: chatUserStore.currentUser.id,
+        receiverId: chatStore.currentFriend.id,
+        roomId: chatStore.currentFriend.room_id,
+        type: 'text',
+        content: '我已接诊，请简单说明您的情况~',
+      });
+    });
 
   } catch (error) {
     console.error('接诊失败:', error);
@@ -110,26 +148,13 @@ const rejectRegister = async (registerId, orderNo) => {
 
   registerOperating.value = true;
 
-  try {
-    // 模拟API调用
-    await new Promise(resolve => setTimeout(resolve, 1500));
-
-    // 更新消息状态
-    if (props.message.content && props.message.content.id === registerId) {
-      props.message.content.status = 3; // 已取消
-    }
-
-    // 显示成功提示
-    console.log(`拒诊成功 - 挂号ID: ${registerId}, 订单号: ${orderNo}`);
-
-    // 这里可以调用实际的API
-    // await rejectRegisterApi({ id: registerId, order_no: orderNo, reason: '医生拒诊' });
-
-  } catch (error) {
-    console.error('拒诊失败:', error);
-  } finally {
-    registerOperating.value = false;
-  }
+  RefusalOfTreatmentModalApi.setData({
+    values: {
+      register_id: registerId,
+    },
+  });
+  RefusalOfTreatmentModalApi.open();
+  registerOperating.value = false;
 };
 
 const bubbleClasses = computed(() => {
@@ -167,6 +192,8 @@ const formatDuration = (seconds) => {
 };
 
 const formatTextWithLinks = (text) => {
+  console.log(text, props.message)
+  if (!text) return text; // 或 return text (但可能返回 undefined/null，根据需求调整)
   const urlRegex = /(https?:\/\/\S+)/g;
   return text.replaceAll(
     urlRegex,
@@ -226,6 +253,10 @@ const getSexText = (sex) => {
   return sex === 1 ? '男' : '女';
 };
 
+
+if (props.message.type === 'register') {
+  getRegisterCardInfo();
+}
 </script>
 
 <template>
@@ -233,6 +264,7 @@ const getSexText = (sex) => {
     :class="isSent ? 'flex-row-reverse' : 'flex-row'"
     class="mb-4 flex items-start gap-3"
   >
+    <RefusalOfTreatmentModals />
     <PrescriptionDetailModal />
     <!-- 头像 -->
     <div
@@ -358,7 +390,10 @@ const getSexText = (sex) => {
                     'bg-blue-100 text-blue-800': message.content.status === 1,
                     'bg-green-100 text-green-800': message.content.status === 2,
                     'bg-red-100 text-red-800': message.content.status === 3,
-                    'bg-gray-100 text-gray-800': message.content.status === 4
+                    'bg-gray-100 text-gray-800': message.content.status === 4,
+                    'bg-purple-100 text-purple-800': message.content.status === 5,
+                    'bg-indigo-100 text-indigo-800': message.content.status === 6,
+                    'bg-pink-100 text-pink-800': message.content.status === 7,
                   }"
                   class="text-xs px-2 py-1 rounded-full font-medium"
                 >
@@ -424,7 +459,7 @@ const getSexText = (sex) => {
             </div>
 
             <!-- 接诊/拒诊按钮 - 只在待就诊状态显示 -->
-            <div v-if="message.content.status === 0" class="flex gap-2 mt-2">
+            <div v-if="message.content.status === 1" class="flex gap-2 mt-2">
               <Button
                 type="primary"
                 size="small"
diff --git a/apps/web-antd/src/views/business/chat/stores/chat.ts b/apps/web-antd/src/views/business/chat/stores/chat.ts
index 55a0275d..de4298de 100644
--- a/apps/web-antd/src/views/business/chat/stores/chat.ts
+++ b/apps/web-antd/src/views/business/chat/stores/chat.ts
@@ -263,7 +263,8 @@ export const useChatStore = defineStore('chat', () => {
       if (message.type === 'image') lastMessage = '[图片]';
       if (message.type === 'video') lastMessage = '[视频]';
       if (message.type === 'audio') lastMessage = '[语音]';
-      if (message.type === 'prescription') lastMessage = '[处方]';
+      if (message.type === 'prescription') lastMessage = '[处方信息]';
+      if (message.type === 'register') lastMessage = '[挂号信息]';
       if (message.type === 'video-call' || message.type === 'audio-call')
         lastMessage = '[通话]';
 
@@ -321,6 +322,12 @@ export const useChatStore = defineStore('chat', () => {
     };
 
     try {
+      if (
+        newMessage.type === 'register' ||
+        messageData.type === 'prescription'
+      ) {
+        newMessage.content = JSON.parse(messageData.content);
+      }
       // await chatDB.saveMessage(newMessage, currentUserId, senderId);
 
       if (currentFriend.value && senderId == currentFriend.value.id) {
@@ -339,6 +346,8 @@ export const useChatStore = defineStore('chat', () => {
         if (newMessage.type === 'image') lastMessage = '[图片]';
         if (newMessage.type === 'video') lastMessage = '[视频]';
         if (newMessage.type === 'audio') lastMessage = '[语音]';
+        if (newMessage.type === 'prescription') lastMessage = '[处方信息]';
+        if (newMessage.type === 'register') lastMessage = '[挂号信息]';
         if (
           newMessage.type === 'video-call' ||
           newMessage.type === 'audio-call'
diff --git a/apps/web-antd/src/views/business/chat/utils/request.ts b/apps/web-antd/src/views/business/chat/utils/request.ts
index e7c7ab42..104fb345 100644
--- a/apps/web-antd/src/views/business/chat/utils/request.ts
+++ b/apps/web-antd/src/views/business/chat/utils/request.ts
@@ -112,7 +112,7 @@ export const sendMessage = (data) => {
   const apiUrl = '/im-api/send-to-user';
 
   // 消息类型映射 - 根据用户提供的完整映射更新
-  const messageTypeMap = {
+  const messageTypeMap: any = {
     text: 0,
     image: 1,
     audio: 2,
diff --git a/apps/web-antd/src/views/business/order/prescription/config/table.ts b/apps/web-antd/src/views/business/order/prescription/config/table.ts
index f3411ecf..13b1afd6 100644
--- a/apps/web-antd/src/views/business/order/prescription/config/table.ts
+++ b/apps/web-antd/src/views/business/order/prescription/config/table.ts
@@ -23,7 +23,7 @@ export const gridOptions: VxeGridProps<RowType> = {
     { field: 'user_patient.name', align: 'left', title: '就诊人名称' },
     { field: 'store.name', align: 'left', title: '开方诊所' },
     { field: 'status', title: '状态', slots: { default: 'status' } },
-    // { field: 'created_at', title: '下单时间' },
+    { field: 'created_at', title: '创建时间' },
     {
       type: 'html',
       title: '操作',
diff --git a/apps/web-antd/src/views/business/order/prescription/index.vue b/apps/web-antd/src/views/business/order/prescription/index.vue
index 40043b12..a6a96c4c 100644
--- a/apps/web-antd/src/views/business/order/prescription/index.vue
+++ b/apps/web-antd/src/views/business/order/prescription/index.vue
@@ -102,6 +102,7 @@ const openPrescriptionSourceModal = (id) => {
           <Tag v-else-if="row.status === 2" color="red">拒绝审核</Tag>
           <Tag v-else-if="row.status === 3" color="purple">无需审核</Tag>
           <Tag v-else-if="row.status === 4" color="green">无需审核</Tag>
+<!--          <p>{{ row.created_at }}</p>-->
         </div>
       </template>
       <template #toolbar-tools></template>
diff --git a/apps/web-antd/src/views/business/order/register/config/table.ts b/apps/web-antd/src/views/business/order/register/config/table.ts
index ee38e8e8..d8a83407 100644
--- a/apps/web-antd/src/views/business/order/register/config/table.ts
+++ b/apps/web-antd/src/views/business/order/register/config/table.ts
@@ -23,9 +23,10 @@ export const gridOptions: VxeGridProps<RowType> = {
     { field: 'doctor_info.depart.name', title: '科室' },
     { field: 'user_patient.name', title: '就诊人名称' },
     { field: 'store.name', title: '开方诊所' },
+    { field: 'type', title: '状态', slots: { default: 'type' } },
     { field: 'prescription', title: '处方', slots: { default: 'prescription'} },
     { field: 'status', title: '状态', slots: { default: 'status' } },
-    // { field: 'created_at', title: '下单时间' },
+    { field: 'created_at', title: '创建时间' },
     // {
     //   type: 'html',
     //   title: '操作',
diff --git a/apps/web-antd/src/views/business/order/register/index.vue b/apps/web-antd/src/views/business/order/register/index.vue
index 16dfb802..3fc5f6d6 100644
--- a/apps/web-antd/src/views/business/order/register/index.vue
+++ b/apps/web-antd/src/views/business/order/register/index.vue
@@ -73,6 +73,12 @@ const openPrescriptionDetail = (values) => {
         </div>
 
       </template>
+      <template #type="{ row }">
+        <div class="mt-3">
+          <Tag v-if="row.type === 0" color="purple">线下</Tag>
+          <Tag v-else-if="row.type === 1" color="green">线上</Tag>
+        </div>
+      </template>
       <template #status="{ row }">
         <div class="mt-3">
 <!--          状态:0待支付1已支付待接诊2接诊中3已结束4已取消5待评价6已评价7已拒诊-->
@@ -84,6 +90,7 @@ const openPrescriptionDetail = (values) => {
           <Tag v-else-if="row.status === 5" color="purple">待评价</Tag>
           <Tag v-else-if="row.status === 6" color="purple">已评价</Tag>
           <Tag v-else-if="row.status === 7" color="red">已拒诊</Tag>
+<!--          <p>{{ row.created_at }}</p>-->
         </div>
       </template>
       <template #toolbar-tools></template>
diff --git a/apps/web-antd/src/views/doctor/doctor-reception/api/index.ts b/apps/web-antd/src/views/doctor/doctor-reception/api/index.ts
index 32995a83..643866c3 100644
--- a/apps/web-antd/src/views/doctor/doctor-reception/api/index.ts
+++ b/apps/web-antd/src/views/doctor/doctor-reception/api/index.ts
@@ -108,6 +108,20 @@ export async function getPrescriptionInfoApi(id: number) {
   return requestClient.get<any>('prescription/detail', { params: { id } });
 }
 
+/**
+ * 获取拒接接诊列表
+ */
+export async function refuseReceptionListApi() {
+  return requestClient.get<any>(`${prefix}refuse-reception-list`);
+}
+/**
+ * 拒诊
+ * @param data
+ */
+export async function refuseReceptionApi(data: any) {
+  return requestClient.post<any>(`${prefix}refuse-reception`, data);
+}
+
 
 /**
  * 检查是否有药物相冲
diff --git a/apps/web-antd/src/views/doctor/doctor-reception/components/RefusalOfTreatmentModal.vue b/apps/web-antd/src/views/doctor/doctor-reception/components/RefusalOfTreatmentModal.vue
new file mode 100644
index 00000000..5c3c077a
--- /dev/null
+++ b/apps/web-antd/src/views/doctor/doctor-reception/components/RefusalOfTreatmentModal.vue
@@ -0,0 +1,91 @@
+<script lang="ts" setup>
+import { ref } from 'vue';
+
+import { useVbenModal } from '@vben/common-ui';
+
+import { message, Radio, RadioGroup } from 'ant-design-vue';
+
+import {refuseReceptionApi, refuseReceptionListApi} from '#/views/doctor/doctor-reception/api';
+
+const registerId = ref('');
+const refuseReception = ref('');
+const refuseReceptionList = ref([]);
+const activeRegister = ref();
+const getPatientListByReceptionApi = ref();
+const updateReceptionStatusApi = ref();
+
+const [Modal, modalApi] = useVbenModal({
+  fullscreenButton: false,
+  draggable: true,
+  onCancel() {
+    modalApi.close();
+  },
+  onConfirm: async () => {
+    if (registerId.value === '') {
+      message.error('请选择接诊单');
+      return;
+    }
+    if (refuseReception.value === '') {
+      message.error('请选择拒诊原因');
+      return;
+    }
+    refuseReceptionApi({
+      register_id: registerId.value,
+      refuse_reason: refuseReception.value,
+    }).then(() => {
+      if (getPatientListByReceptionApi.value) {
+        getPatientListByReceptionApi.value();
+      }
+      if (updateReceptionStatusApi.value) {
+        updateReceptionStatusApi.value(activeRegister.value);
+      }
+      modalApi.close();
+      message.success('拒绝成功');
+    });
+    // setUpdateDiagnosis.value(selectDiagnosisList.value);
+  },
+  onOpenChange(isOpen: boolean) {
+    if (isOpen) {
+      // 更新患者列表
+      getPatientListByReceptionApi.value = isOpen
+        ? modalApi.getData()?.getPatientListByReception
+        : null;
+      // 更新患者信息
+      updateReceptionStatusApi.value = isOpen
+        ? modalApi.getData()?.updateReceptionStatus
+        : null;
+      // // 当前挂号信息
+      // activeRegister.value = isOpen
+      //   ? modalApi.getData()?.activeRegister
+      //   : null;
+      // console.log('模态框：', activeRegister.value)
+      const { values } = modalApi.getData<Record<string, any>>();
+      if (values) {
+        registerId.value = values.register_id;
+        refuseReceptionListApi().then((res) => {
+          refuseReceptionList.value = res;
+        });
+        console.log(values.register_id, 'sssssssssss');
+        // selectDiagnosisList.value = values;
+      }
+    }
+  },
+});
+</script>
+
+<template>
+  <Modal class="w-[20%]" title="拒诊原因">
+    挂号ID：{{ registerId }}
+    <RadioGroup style="align-items: center" v-model:value="refuseReception">
+      <Radio
+        v-for="item in refuseReceptionList"
+        :key="item.key"
+        :value="item.value"
+        class="mt-3 w-full"
+      >
+        {{ item.value }}
+      </Radio>
+    </RadioGroup>
+  </Modal>
+</template>
+<style lang="scss"></style>
diff --git a/apps/web-antd/src/views/doctor/doctor-reception/index.vue b/apps/web-antd/src/views/doctor/doctor-reception/index.vue
index 6ef076eb..c8225b67 100644
--- a/apps/web-antd/src/views/doctor/doctor-reception/index.vue
+++ b/apps/web-antd/src/views/doctor/doctor-reception/index.vue
@@ -50,6 +50,8 @@ import DiagnosisModal from './components/DiagnosisModal.vue';
 import DoctorOrderModal from './components/DoctorOrderModal.vue';
 import PrescriptionDetail from './components/PrescriptionDetail.vue';
 import WesternModal from './components/WesternModal.vue';
+import RefusalOfTreatmentModal
+  from "#/views/doctor/doctor-reception/components/RefusalOfTreatmentModal.vue";
 
 interface Patient {
   id: number;
@@ -298,6 +300,7 @@ const setVisible = (value, instruction = ''): void => {
     visible.value = value;
   }
 };
+
 /**
  * 选择华女这操作
  * @param patient
@@ -598,6 +601,11 @@ function updateDoctorOrder(values) {
 const [PrescriptionDetailModal, PrescriptionDetailModalApi] = useVbenModal({
   connectedComponent: PrescriptionDetail,
 });
+
+
+const [RefusalOfTreatmentModals, RefusalOfTreatmentModalApi] = useVbenModal({
+  connectedComponent: RefusalOfTreatmentModal,
+});
 const openWesternModal = () => {
   // 打开西药处方模态框逻辑
   WesternDrugModalApi.setData({
@@ -646,6 +654,34 @@ function reception() {
   });
 }
 
+const updateReceptionStatus = () => {
+  receptionStatus.value = 0;
+  tabType.value = 0;
+  console.log('这', {
+    receptionStatus: receptionStatus.value,
+    tabType: tabType.value
+  })
+}
+
+/**
+ * 拒诊
+ */
+function refuseReception() {
+  RefusalOfTreatmentModalApi.setData({
+    values: {
+      register_id: localStorage.getItem(`doctorReception-id`)
+    },
+    getPatientListByReception,
+    updateReceptionStatus,
+    // 在patients中循环查询id = selectPatientId.value的
+
+    // let patient = patients.
+    // selectPatient(localStorage.getItem(`doctorReception-id`));
+  })
+
+  RefusalOfTreatmentModalApi.open();
+}
+
 /**
  * 结束诊断
  */
@@ -1099,6 +1135,7 @@ watch(
 
 <template>
   <div :class="leftShow === true? 'container-box-grid':'container-box'">
+    <RefusalOfTreatmentModals />
 <!--    如果leftShow === true展示收起，反之则显示展开-->
     <div>
       <Button :class="`${leftShow === true? 'w-full': 'sticky top-5 left-5'}`" type="primary" @click="leftShow = !leftShow">{{ leftShow === true ? '收起患者列表' : '展开患者列表' }}</Button>
@@ -1148,6 +1185,15 @@ watch(
         >
           接诊
         </Button>
+        <Button
+          v-if="receptionStatus === 1"
+          class="send-btn"
+          type="primary"
+          danger
+          @click="refuseReception"
+        >
+          拒诊
+        </Button>
         <Button
           v-if="receptionStatus === 2"
           class="send-btn"
@@ -2113,6 +2159,7 @@ watch(
 
 .send-btn {
   cursor: pointer;
+  margin-right: 10px;
   float: right;
 }
 
diff --git a/apps/web-antd/src/views/doctor/doctor/config/form.ts b/apps/web-antd/src/views/doctor/doctor/config/form.ts
index 6c253ef3..b0523848 100644
--- a/apps/web-antd/src/views/doctor/doctor/config/form.ts
+++ b/apps/web-antd/src/views/doctor/doctor/config/form.ts
@@ -282,12 +282,12 @@ export const infoModalFormProps: VbenFormProps = {
       },
       fieldName: 'sign_type',
       formItemClass: 'col-span-6',
-      dependencies: {
-        show: (values) => {
-          return values.id == null;
-        },
-        triggerFields: ['id'],
-      },
+      // dependencies: {
+      //   show: (values) => {
+      //     return values.id == null;
+      //   },
+      //   triggerFields: ['id'],
+      // },
       label: '签名类型',
       rules: 'required',
     },