diff --git a/service/modules/v1/controllers/PatientController.php b/service/modules/v1/controllers/PatientController.php
index 32349dc..e549683 100644
--- a/service/modules/v1/controllers/PatientController.php
+++ b/service/modules/v1/controllers/PatientController.php
@@ -412,13 +412,25 @@ class PatientController extends BaseServiceController
         ]);
         switch ($post['status']) {
             case 1:
+                // 子查询：找到每个 user_patient_id 的最大 created_at 时间
+                $subQuery = (new \yii\db\Query())
+                    ->select(['r.user_patient_id', 'MAX(r.created_at) as max_created_at'])
+                    ->from(['r' => Register::tableName()])
+                    ->where([
+                        'r.service_user_id' => \Yii::$app->user->id,
+                        'r.store_id' => \Yii::$app->store,
+                        'r.is_delete' => 0,
+                        'r.is_pay' => 1,
+                        'r.is_cancel' => 0,
+                    ])
+                    ->groupBy(['r.user_patient_id']);
                 $query = Register::find()->alias('r')->where([
                     'r.service_user_id' => \Yii::$app->user->id,
                     'r.store_id' => \Yii::$app->store,
                     'r.is_delete' => 0,
                     'r.is_pay' => 1,
                     'r.is_cancel' => 0,
-                ])->orderBy(['created_at' => SORT_DESC])
+                ])->andWhere(['r.user_patient_id' => $subQuery])->orderBy(['created_at' => SORT_DESC])
                     ->with(['patient']);
                 break;
             case 2: