diff --git a/.gitignore b/.gitignore
index 60559922..aea6eb06 100644
--- a/.gitignore
+++ b/.gitignore
@@ -29,3 +29,4 @@ bin-release/
 /.claude
 /.claude
 /.claude
+/.kbctx
diff --git a/admin/src/views/tcm/diagnosis/components/CallRecordPanel.vue b/admin/src/views/tcm/diagnosis/components/CallRecordPanel.vue
index 9dfc9ea3..083c8e1e 100644
--- a/admin/src/views/tcm/diagnosis/components/CallRecordPanel.vue
+++ b/admin/src/views/tcm/diagnosis/components/CallRecordPanel.vue
@@ -1,6 +1,6 @@
 <template>
     <div class="call-record-panel">
-        <div class="call-record-toolbar">
+        <div v-if="!readOnly" class="call-record-toolbar">
             <upload
                 ref="toolbarUploadRef"
                 type="video"
@@ -19,7 +19,11 @@
                 <div class="call-record-empty">
                     <div class="call-record-empty__title">暂无通话记录</div>
                     <div class="call-record-empty__desc">
-                        现在可以直接点击上方“上传视频”。系统会自动生成一条默认通话记录来承载回放。
+                        {{
+                            readOnly
+                                ? '暂无录制回放数据。'
+                                : '现在可以直接点击上方“上传视频”。系统会自动生成一条默认通话记录来承载回放。'
+                        }}
                     </div>
                 </div>
             </template>
@@ -47,7 +51,7 @@
                     {{ row.recording_status_text || '—' }}
                 </template>
             </el-table-column>
-            <el-table-column label="上传回放" width="180">
+            <el-table-column v-if="!readOnly" label="上传回放" width="180">
                 <template #default="{ row }">
                     <upload
                         type="video"
@@ -92,7 +96,7 @@
 import Upload from '@/components/upload/index.vue'
 import feedback from '@/utils/feedback'
 import { attachLocalCallRecording, createManualCallRecord, getCallRecords } from '@/api/tcm'
-import { ref, useTemplateRef, watch } from 'vue'
+import { ref, useTemplateRef, watch, withDefaults } from 'vue'
 
 type CallRecordRow = {
     id: number
@@ -106,9 +110,14 @@ type CallRecordRow = {
     duration_text?: string
 }
 
-const props = defineProps<{
-    diagnosisId: number
-}>()
+const props = withDefaults(
+    defineProps<{
+        diagnosisId: number
+        /** 只读场景（如诊单只读详情）：不展示任何上传入口 */
+        readOnly?: boolean
+    }>(),
+    { readOnly: false }
+)
 
 const loading = ref(false)
 const rows = ref<CallRecordRow[]>([])
diff --git a/admin/src/views/tcm/diagnosis/components/DiagnosisTodoList.vue b/admin/src/views/tcm/diagnosis/components/DiagnosisTodoList.vue
index 71d75871..6475ea2b 100644
--- a/admin/src/views/tcm/diagnosis/components/DiagnosisTodoList.vue
+++ b/admin/src/views/tcm/diagnosis/components/DiagnosisTodoList.vue
@@ -3,7 +3,7 @@
         <div class="toolbar">
             <el-button
                 type="primary"
-                :disabled="!props.diagnosisId || !!props.readOnly || !hasDailyRecordPermission"
+                :disabled="!props.diagnosisId || !hasDailyRecordPermission"
                 @click="handleAdd"
                 v-perms="DAILY_RECORD_PERMS"
             >
@@ -226,7 +226,7 @@ const disablePastDate = (date: Date) => {
 }
 
 const handleAdd = () => {
-    if (!props.diagnosisId || props.readOnly || !hasDailyRecordPermission.value) {
+    if (!props.diagnosisId || !hasDailyRecordPermission.value) {
         feedback.msgWarning('诊单未保存，无法添加待办')
         return
     }
diff --git a/admin/src/views/tcm/diagnosis/readonly.vue b/admin/src/views/tcm/diagnosis/readonly.vue
index 144557e3..3b5b16e6 100644
--- a/admin/src/views/tcm/diagnosis/readonly.vue
+++ b/admin/src/views/tcm/diagnosis/readonly.vue
@@ -40,23 +40,110 @@
             <PatientCaseCard :apt="apt" :diag="diag" />
 
             <!-- 日常记录（只读） -->
-            <div class="card tracking-card">
+            <div v-if="hasDailyRecordPermission" class="card tracking-card">
                 <div class="card-title">日常记录</div>
-                <DailyMatrix
-                    :diagnosis-id="Number(diagnosisIdNum)"
-                    :patient-id="Number(diag?.patient_id ?? 0)"
-                    :age="diag?.age ?? null"
-                    :patient-name="diag?.patient_name || ''"
-                    :read-only="true"
-                />
+                <div class="card-body">
+                    <DailyMatrix
+                        :diagnosis-id="diagnosisNumericId"
+                        :patient-id="patientNumericId"
+                        :age="diag?.age ?? null"
+                        :patient-name="diag?.patient_name || ''"
+                        :read-only="true"
+                    />
+                </div>
             </div>
 
-            <!-- 医生备注（复用 reception 的 NoteTimeline，但只读） -->
-            <div v-if="doctorNotes.length" class="card note-card">
+            <!-- 医生备注、舌苔照片、检查报告（只读；与编辑页「医生备注」同源） -->
+            <div class="card note-card">
                 <div class="card-title">医生备注 & 舌苔照片 & 检查报告</div>
-                <NoteTimeline :notes="doctorNotes" :diagnosis-id="diag?.id" />
+                <div class="card-body card-body--matrix-align">
+                    <el-empty v-if="diagnosisNumericId <= 0" description="诊单数据不完整" />
+                    <el-empty
+                        v-else-if="!doctorNotesLocal.length"
+                        description="暂无医生备注"
+                    />
+                    <NoteTimeline
+                        v-else
+                        :notes="doctorNotesLocal"
+                        :diagnosis-id="diagnosisNumericId"
+                        :readonly="true"
+                    />
+                </div>
             </div>
 
+            <!-- 业务订单 -->
+            <div
+                v-if="hasPermission(['tcm.diagnosis/patientOrders'])"
+                class="card section-card"
+            >
+                <div class="card-title">业务订单</div>
+                <div class="card-body card-body--matrix-align">
+                    <patient-order-list
+                        v-if="diagnosisNumericId > 0"
+                        :diagnosis-id="diagnosisNumericId"
+                        :patient-id="patientNumericId || 0"
+                    />
+                    <el-empty v-else description="诊单数据不完整" />
+                </div>
+            </div>
+
+            <!-- 视频录制回放记录 -->
+            <div v-if="hasPermission(['tcm.diagnosis/huifang'])" class="card section-card">
+                <div class="card-title">视频录制回放记录</div>
+                <div class="card-body card-body--matrix-align">
+                    <call-record-panel
+                        v-if="diagnosisNumericId > 0"
+                        :diagnosis-id="diagnosisNumericId"
+                        :read-only="true"
+                    />
+                    <el-empty v-else description="诊单数据不完整" />
+                </div>
+            </div>
+
+            <!-- 聊天记录 -->
+            <div v-if="hasPermission(['tcm.diagnosis/chat'])" class="card section-card">
+                <div class="card-title">聊天记录</div>
+                <div class="card-body card-body--matrix-align">
+                    <im-chat-record-panel
+                        v-if="diagnosisNumericId > 0"
+                        :diagnosis-id="diagnosisNumericId"
+                    />
+                    <el-empty v-else description="诊单数据不完整" />
+                </div>
+            </div>
+
+            <!-- 指派医助记录 -->
+            <div
+                v-if="
+                    hasPermission(['tcm.diagnosis/assign']) ||
+                    hasPermission(['tcm.diagnosis/detail'])
+                "
+                class="card section-card"
+            >
+                <div class="card-title">指派医助记录</div>
+                <div class="card-body card-body--matrix-align">
+                    <assign-log-panel
+                        v-if="diagnosisNumericId > 0"
+                        :diagnosis-id="diagnosisNumericId"
+                    />
+                    <el-empty v-else description="诊单数据不完整" />
+                </div>
+            </div>
+
+            <!-- 挂号记录 -->
+            <div
+                v-if="hasPermission(['doctor.appointment/lists'])"
+                class="card section-card"
+            >
+                <div class="card-title">挂号记录</div>
+                <div class="card-body card-body--matrix-align">
+                    <appointment-record-panel
+                        v-if="diagnosisNumericId > 0"
+                        :diagnosis-id="diagnosisNumericId"
+                    />
+                    <el-empty v-else description="诊单数据不完整" />
+                </div>
+            </div>
         </template>
     </div>
 </template>
@@ -66,10 +153,17 @@ import { computed, onMounted, ref } from 'vue'
 import { useRoute, useRouter } from 'vue-router'
 import { ArrowLeft } from '@element-plus/icons-vue'
 import { diagnosisReadonlyDetail } from '@/api/tcm'
+import { getDoctorNotes } from '@/api/patient'
 import { formatGender } from '@/utils/diag-display'
+import { hasPermission } from '@/utils/perm'
 import PatientInfoCard from './components/PatientInfoCard.vue'
 import PatientCaseCard from './components/PatientCaseCard.vue'
 import DailyMatrix from './components/DailyMatrix.vue'
+import CallRecordPanel from './components/CallRecordPanel.vue'
+import ImChatRecordPanel from './components/ImChatRecordPanel.vue'
+import AssignLogPanel from './components/AssignLogPanel.vue'
+import AppointmentRecordPanel from './components/AppointmentRecordPanel.vue'
+import PatientOrderList from './components/PatientOrderList.vue'
 import NoteTimeline from '@/views/patient/reception/components/NoteTimeline.vue'
 
 const route = useRoute()
@@ -80,10 +174,19 @@ const diagnosisIdNum = computed(() => Number(route.query.id || 0))
 const loading = ref(false)
 const errorMsg = ref('')
 const detail = ref<any>(null)
+/** 医生备注：readonlyDetail 返回 + getDoctorNotes 对齐接诊台结构 */
+const doctorNotesLocal = ref<any[]>([])
 
 const apt = computed<any>(() => detail.value?.appointment || {})
 const diag = computed<any>(() => detail.value?.diagnosis || {})
-const doctorNotes = computed<any[]>(() => detail.value?.doctor_notes || [])
+
+const hasDailyRecordPermission = computed(() => hasPermission(['tcm.diagnosis/dailyRecord']))
+
+const diagnosisNumericId = computed(() =>
+    Number(diag.value?.id ?? diagnosisIdNum.value ?? 0)
+)
+const patientNumericId = computed(() => Number(diag.value?.patient_id ?? 0))
+
 const unservedDays = computed<number | null>(() => {
     const v = detail.value?.unserved_days
     return v === null || v === undefined ? null : Number(v)
@@ -103,11 +206,23 @@ const unservedDaysClass = (n: unknown) => {
     return 'unserved-green'
 }
 
+const fetchDoctorNotes = async () => {
+    const id = diagnosisNumericId.value
+    if (!id) return
+    try {
+        const data = (await getDoctorNotes({ diagnosis_id: id })) || []
+        doctorNotesLocal.value = data
+    } catch {
+        /* 失败时保留 readonlyDetail 已下发的 doctor_notes，避免整块备注空白 */
+    }
+}
+
 const fetchDetail = async () => {
     const id = diagnosisIdNum.value
     if (!id || id <= 0) {
         errorMsg.value = '诊单 id 缺失'
         detail.value = null
+        doctorNotesLocal.value = []
         return
     }
     loading.value = true
@@ -115,9 +230,12 @@ const fetchDetail = async () => {
     try {
         const res: any = await diagnosisReadonlyDetail({ id })
         detail.value = res || null
+        doctorNotesLocal.value = Array.isArray(res?.doctor_notes) ? res.doctor_notes : []
+        await fetchDoctorNotes()
     } catch (e: any) {
         errorMsg.value = e?.message || ''
         detail.value = null
+        doctorNotesLocal.value = []
     } finally {
         loading.value = false
     }
@@ -276,4 +394,18 @@ onMounted(fetchDetail)
         background: linear-gradient(180deg, #4f8cff 0%, #2563eb 100%);
     }
 }
+
+.card-body {
+    min-width: 0;
+}
+
+/* 与 DailyMatrix 根节点 .daily-matrix { padding: 16px } 对齐，使下方区块与「日常记录 / 待办」主内容区左右留白一致 */
+.card-body--matrix-align {
+    padding: 16px;
+    box-sizing: border-box;
+}
+
+.section-card .card-title {
+    margin-bottom: 0;
+}
 </style>