diff --git a/admin/src/views/finance/mubiao-dept-card.vue b/admin/src/views/finance/mubiao-dept-card.vue
new file mode 100644
index 00000000..d24429db
--- /dev/null
+++ b/admin/src/views/finance/mubiao-dept-card.vue
@@ -0,0 +1,592 @@
+<template>
+    <div class="dept-card" :class="{ 'dept-card--saved': allSaved, 'dept-card--empty': isEmpty }">
+
+        <!-- 面包屑路径（仅钻取卡显示） -->
+        <div v-if="!isRoot && breadcrumb" class="dept-card__crumb">
+            <span
+                v-for="(seg, i) in breadcrumb"
+                :key="i"
+                class="crumb-seg"
+            >
+                <span class="crumb-seg__text">{{ seg }}</span>
+                <el-icon v-if="i < breadcrumb.length - 1" class="crumb-sep"><ArrowRight /></el-icon>
+            </span>
+        </div>
+
+        <!-- 卡片头 -->
+        <div class="dept-card__header">
+            <div class="dept-card__avatar" :style="{ background: avatarBg }">
+                {{ node.dept_name.slice(0, 1) }}
+            </div>
+            <div class="dept-card__meta">
+                <div class="dept-card__name">{{ node.dept_name }}</div>
+                <div v-if="node.children?.length" class="dept-card__sub-count">
+                    {{ node.children.length }} 个子部门
+                    <span v-if="childTotal > 0" class="dept-card__sub-total">· ¥{{ formatMoneyShort(childTotal) }}</span>
+                </div>
+            </div>
+            <div class="dept-card__actions">
+                <span v-if="node.target_id" class="status-badge status-badge--saved">已保存</span>
+                <span v-else class="status-badge status-badge--new">未设置</span>
+                <!-- 钻取卡才有关闭按钮 -->
+                <button v-if="!isRoot" class="close-btn" title="关闭此卡片" @click="emit('close')">
+                    <el-icon><Close /></el-icon>
+                </button>
+            </div>
+        </div>
+
+        <!-- 当前部门输入 -->
+        <div class="dept-card__body">
+            <div class="field-row">
+                <div class="field-block">
+                    <label class="field-block__label">目标金额</label>
+                    <el-input-number
+                        v-model="node.target_amount"
+                        :min="0"
+                        :precision="2"
+                        :step="1000"
+                        controls-position="right"
+                        placeholder="0.00"
+                        class="field-block__input"
+                    />
+                    <span v-if="node.target_amount > 0" class="field-block__hint">
+                        ¥ {{ formatMoney(node.target_amount) }}
+                    </span>
+                </div>
+                <div class="field-block field-block--remark">
+                    <label class="field-block__label">备注</label>
+                    <el-input
+                        v-model="node.remark"
+                        maxlength="255"
+                        placeholder="备注（选填）"
+                        clearable
+                    />
+                </div>
+            </div>
+        </div>
+
+        <!-- 子部门列表 -->
+        <template v-if="node.children?.length">
+            <div class="child-header">
+                <span class="child-header__title">子部门</span>
+                <span class="child-header__count">{{ node.children.length }}</span>
+            </div>
+            <div class="child-list">
+                <div
+                    v-for="child in node.children"
+                    :key="child.dept_id"
+                    class="child-row"
+                    :class="{ 'child-row--active': drilledId === child.dept_id }"
+                >
+                    <div class="child-row__name-wrap">
+                        <div class="child-row__dot" />
+                        <span class="child-row__name">{{ child.dept_name }}</span>
+                        <el-tag
+                            v-if="child.target_id"
+                            size="small" type="success" effect="plain" round
+                            class="child-row__tag"
+                        >已保存</el-tag>
+                    </div>
+
+                    <div class="child-row__inputs">
+                        <el-input-number
+                            v-model="child.target_amount"
+                            :min="0"
+                            :precision="2"
+                            :step="1000"
+                            controls-position="right"
+                            placeholder="0.00"
+                            class="child-row__amount"
+                        />
+                        <el-input
+                            v-model="child.remark"
+                            maxlength="255"
+                            placeholder="备注"
+                            clearable
+                            size="small"
+                            class="child-row__remark"
+                        />
+                        <!-- 子部门若有下级，显示子树合计 + 钻取按钮 -->
+                        <template v-if="child.children?.length">
+                            <span
+                                v-if="subtreeSum(child) > 0"
+                                class="child-subtree-total"
+                                :title="`「${child.dept_name}」含下级合计`"
+                            >
+                                ={{ formatMoneyShort(subtreeSum(child)) }}
+                            </span>
+                            <button
+                                class="drill-btn"
+                                :class="{ 'drill-btn--active': drilledId === child.dept_id }"
+                                :title="`展开「${child.dept_name}」的 ${child.children.length} 个子部门`"
+                                @click="emit('drill-in', child)"
+                            >
+                                <el-icon><ArrowRight /></el-icon>
+                                <span>{{ child.children.length }}</span>
+                            </button>
+                        </template>
+                    </div>
+                </div>
+            </div>
+        </template>
+
+        <!-- 底部合计 -->
+        <div class="dept-card__footer">
+            <span class="dept-card__footer-label">本卡合计</span>
+            <span class="dept-card__footer-total" :class="{ 'is-nonzero': cardTotal > 0 }">
+                ¥ {{ formatMoney(cardTotal) }}
+            </span>
+        </div>
+
+    </div>
+</template>
+
+<script lang="ts" setup>
+import { computed } from 'vue'
+import { ArrowRight, Close } from '@element-plus/icons-vue'
+import type { DeptTargetRow } from './mubiao-dept-node.vue'
+
+const props = defineProps<{
+    node: DeptTargetRow
+    isRoot: boolean
+    drilledId: number | null
+}>()
+
+const emit = defineEmits<{
+    (e: 'drill-in', node: DeptTargetRow): void
+    (e: 'close'): void
+}>()
+
+// 递归求一个节点的整棵子树金额合计（含自身）
+function subtreeSum(node: DeptTargetRow): number {
+    let s = Number(node.target_amount ?? 0)
+    if (node.children?.length) {
+        for (const c of node.children) s += subtreeSum(c)
+    }
+    return s
+}
+
+const childTotal = computed(() => {
+    if (!props.node.children?.length) return 0
+    return props.node.children.reduce((s, c) => s + subtreeSum(c), 0)
+})
+
+const cardTotal = computed(() => Number(props.node.target_amount ?? 0) + childTotal.value)
+const isEmpty = computed(() => cardTotal.value === 0)
+const allSaved = computed(() => {
+    if (!props.node.target_id) return false
+    if (!props.node.children?.length) return true
+    return props.node.children.every(c => c.target_id > 0)
+})
+
+// 面包屑：从 dept_path 中提取，去掉最后一段（就是自己的名字）
+const breadcrumb = computed(() => {
+    if (!props.node.dept_path) return null
+    const segs = props.node.dept_path.split(/\s*\/\s*/).filter(Boolean)
+    return segs.length > 1 ? segs : null
+})
+
+// 根据名称哈希生成确定性渐变
+const avatarBg = computed(() => {
+    const palettes = [
+        'linear-gradient(135deg,#667eea,#764ba2)',
+        'linear-gradient(135deg,#f093fb,#f5576c)',
+        'linear-gradient(135deg,#4facfe,#00f2fe)',
+        'linear-gradient(135deg,#43e97b,#38f9d7)',
+        'linear-gradient(135deg,#fa709a,#fee140)',
+        'linear-gradient(135deg,#30cfd0,#330867)',
+        'linear-gradient(135deg,#a18cd1,#fbc2eb)',
+        'linear-gradient(135deg,#fccb90,#d57eeb)',
+        'linear-gradient(135deg,#e0c3fc,#8ec5fc)',
+        'linear-gradient(135deg,#f6d365,#fda085)',
+    ]
+    let hash = 0
+    for (let i = 0; i < props.node.dept_name.length; i++) {
+        hash = (hash * 31 + props.node.dept_name.charCodeAt(i)) & 0xffff
+    }
+    return palettes[hash % palettes.length]
+})
+
+function formatMoney(v: number): string {
+    return Number(v || 0).toLocaleString('zh-CN', { minimumFractionDigits: 2, maximumFractionDigits: 2 })
+}
+
+function formatMoneyShort(v: number): string {
+    if (v >= 10000) return (v / 10000).toFixed(1) + 'w'
+    return v.toLocaleString('zh-CN', { maximumFractionDigits: 0 })
+}
+</script>
+
+<style lang="scss" scoped>
+.dept-card {
+    background: var(--el-bg-color);
+    border: 1px solid var(--el-border-color-lighter);
+    border-radius: 14px;
+    overflow: hidden;
+    box-shadow: 0 2px 8px rgba(0, 0, 0, 0.05);
+    transition: box-shadow 0.2s ease, transform 0.15s ease;
+    display: flex;
+    flex-direction: column;
+
+    &:hover {
+        box-shadow: 0 6px 20px rgba(0, 0, 0, 0.09);
+        transform: translateY(-1px);
+    }
+
+    &--saved {
+        border-color: color-mix(in srgb, #67c23a 30%, var(--el-border-color-lighter));
+    }
+
+    &--empty {
+        opacity: 0.8;
+    }
+}
+
+/* ── 面包屑 ── */
+.dept-card__crumb {
+    display: flex;
+    align-items: center;
+    flex-wrap: wrap;
+    gap: 2px;
+    padding: 8px 14px 0;
+    font-size: 11px;
+
+    .crumb-seg {
+        display: inline-flex;
+        align-items: center;
+        gap: 2px;
+
+        &__text {
+            color: var(--el-text-color-placeholder);
+
+            &:last-child {
+                color: var(--el-color-primary);
+                font-weight: 600;
+            }
+        }
+    }
+
+    .crumb-sep {
+        font-size: 10px;
+        color: var(--el-border-color-darker);
+    }
+}
+
+/* ── 卡片头 ── */
+.dept-card__header {
+    display: flex;
+    align-items: center;
+    gap: 12px;
+    padding: 14px 14px 12px;
+    border-bottom: 1px solid var(--el-border-color-lighter);
+    background: linear-gradient(180deg, var(--el-fill-color-extra-light), var(--el-bg-color));
+}
+
+.dept-card__avatar {
+    width: 38px;
+    height: 38px;
+    border-radius: 12px;
+    display: flex;
+    align-items: center;
+    justify-content: center;
+    font-size: 15px;
+    font-weight: 800;
+    color: #fff;
+    flex-shrink: 0;
+    box-shadow: 0 3px 8px rgba(0, 0, 0, 0.18);
+}
+
+.dept-card__meta {
+    flex: 1;
+    min-width: 0;
+}
+
+.dept-card__name {
+    font-size: 14px;
+    font-weight: 700;
+    color: var(--el-text-color-primary);
+    line-height: 1.3;
+    white-space: nowrap;
+    overflow: hidden;
+    text-overflow: ellipsis;
+}
+
+.dept-card__sub-count {
+    font-size: 11.5px;
+    color: var(--el-text-color-placeholder);
+    margin-top: 2px;
+}
+
+.dept-card__sub-total {
+    color: var(--el-color-primary);
+    font-weight: 600;
+}
+
+.dept-card__actions {
+    display: flex;
+    align-items: center;
+    gap: 6px;
+    flex-shrink: 0;
+}
+
+.close-btn {
+    all: unset;
+    display: inline-flex;
+    align-items: center;
+    justify-content: center;
+    width: 24px;
+    height: 24px;
+    border-radius: 6px;
+    color: var(--el-text-color-placeholder);
+    cursor: pointer;
+    transition: background 0.15s, color 0.15s;
+
+    &:hover {
+        background: var(--el-fill-color);
+        color: var(--el-color-danger);
+    }
+
+    .el-icon { font-size: 13px; }
+}
+
+.status-badge {
+    display: inline-flex;
+    align-items: center;
+    padding: 3px 9px;
+    border-radius: 999px;
+    font-size: 11px;
+    font-weight: 600;
+
+    &--saved {
+        background: color-mix(in srgb, #67c23a 12%, transparent);
+        color: #529b2e;
+        border: 1px solid color-mix(in srgb, #67c23a 28%, transparent);
+    }
+
+    &--new {
+        background: var(--el-fill-color);
+        color: var(--el-text-color-placeholder);
+        border: 1px solid var(--el-border-color-lighter);
+    }
+}
+
+/* ── 主体输入 ── */
+.dept-card__body {
+    padding: 14px;
+    border-bottom: 1px solid var(--el-border-color-lighter);
+}
+
+.field-row {
+    display: flex;
+    flex-direction: column;
+    gap: 10px;
+}
+
+.field-block {
+    display: flex;
+    flex-direction: column;
+    gap: 5px;
+
+    &__label {
+        font-size: 10.5px;
+        font-weight: 700;
+        color: var(--el-text-color-secondary);
+        letter-spacing: 0.07em;
+        text-transform: uppercase;
+    }
+
+    &__input {
+        width: 100%;
+
+        :deep(.el-input__wrapper) {
+            border-radius: 8px;
+        }
+    }
+
+    &__hint {
+        font-size: 11px;
+        color: var(--el-text-color-placeholder);
+        margin-top: -2px;
+    }
+}
+
+/* ── 子部门区 ── */
+.child-header {
+    display: flex;
+    align-items: center;
+    gap: 6px;
+    padding: 8px 14px;
+    background: var(--el-fill-color-extra-light);
+    border-bottom: 1px solid var(--el-border-color-lighter);
+
+    &__title {
+        font-size: 11px;
+        font-weight: 700;
+        color: var(--el-text-color-secondary);
+        letter-spacing: 0.07em;
+        text-transform: uppercase;
+    }
+
+    &__count {
+        display: inline-flex;
+        align-items: center;
+        justify-content: center;
+        min-width: 18px;
+        height: 18px;
+        padding: 0 5px;
+        border-radius: 999px;
+        font-size: 10px;
+        font-weight: 700;
+        background: var(--el-color-primary-light-8);
+        color: var(--el-color-primary);
+    }
+}
+
+.child-list {
+    display: flex;
+    flex-direction: column;
+}
+
+.child-row {
+    padding: 9px 14px;
+    border-bottom: 1px solid var(--el-border-color-lighter);
+    transition: background 0.12s;
+
+    &:last-child { border-bottom: none; }
+
+    &:hover { background: var(--el-fill-color-extra-light); }
+
+    &--active {
+        background: color-mix(in srgb, var(--el-color-primary) 5%, var(--el-bg-color)) !important;
+        border-left: 2px solid var(--el-color-primary-light-4);
+    }
+
+    &__name-wrap {
+        display: flex;
+        align-items: center;
+        gap: 7px;
+        margin-bottom: 7px;
+    }
+
+    &__dot {
+        width: 6px;
+        height: 6px;
+        border-radius: 50%;
+        background: var(--el-color-primary-light-4);
+        flex-shrink: 0;
+        box-shadow: 0 0 0 2px color-mix(in srgb, var(--el-color-primary) 15%, transparent);
+    }
+
+    &__name {
+        font-size: 13px;
+        font-weight: 600;
+        color: var(--el-text-color-primary);
+        flex: 1;
+        min-width: 0;
+        overflow: hidden;
+        text-overflow: ellipsis;
+        white-space: nowrap;
+    }
+
+    &__tag { flex-shrink: 0; }
+
+    &__inputs {
+        display: flex;
+        align-items: center;
+        gap: 8px;
+    }
+
+    &__amount {
+        flex: 0 0 150px;
+
+        :deep(.el-input__wrapper) {
+            border-radius: 7px;
+        }
+    }
+
+    &__remark {
+        flex: 1;
+        min-width: 0;
+
+        :deep(.el-input__wrapper) {
+            border-radius: 7px;
+        }
+    }
+}
+
+/* 子树合计标签 */
+.child-subtree-total {
+    flex-shrink: 0;
+    font-size: 11.5px;
+    font-weight: 700;
+    color: var(--el-color-primary);
+    white-space: nowrap;
+    letter-spacing: -0.01em;
+}
+
+/* 钻取按钮 */
+.drill-btn {
+    all: unset;
+    display: inline-flex;
+    align-items: center;
+    gap: 3px;
+    flex-shrink: 0;
+    padding: 5px 10px;
+    border-radius: 7px;
+    font-size: 12px;
+    font-weight: 700;
+    color: var(--el-color-primary);
+    background: var(--el-color-primary-light-9);
+    border: 1px solid var(--el-color-primary-light-7);
+    cursor: pointer;
+    transition: background 0.15s, box-shadow 0.15s, transform 0.1s;
+
+    &:hover {
+        background: var(--el-color-primary-light-8);
+        box-shadow: 0 2px 6px color-mix(in srgb, var(--el-color-primary) 20%, transparent);
+        transform: translateX(1px);
+    }
+
+    &--active {
+        background: var(--el-color-primary);
+        color: #fff;
+        border-color: var(--el-color-primary);
+        box-shadow: 0 2px 8px color-mix(in srgb, var(--el-color-primary) 35%, transparent);
+    }
+
+    .el-icon {
+        font-size: 12px;
+        transition: transform 0.15s;
+    }
+
+    &:hover .el-icon { transform: translateX(2px); }
+}
+
+/* ── 底部 ── */
+.dept-card__footer {
+    margin-top: auto;
+    display: flex;
+    align-items: center;
+    justify-content: space-between;
+    padding: 10px 14px;
+    background: var(--el-fill-color-extra-light);
+    border-top: 1px solid var(--el-border-color-lighter);
+}
+
+.dept-card__footer-label {
+    font-size: 11.5px;
+    color: var(--el-text-color-placeholder);
+    font-weight: 600;
+    letter-spacing: 0.04em;
+}
+
+.dept-card__footer-total {
+    font-size: 15px;
+    font-weight: 800;
+    color: var(--el-text-color-placeholder);
+    letter-spacing: -0.02em;
+    transition: color 0.2s;
+
+    &.is-nonzero { color: var(--el-color-primary); }
+}
+</style>
diff --git a/server/app/common/model/tcm/DiagnosisGuahaoLog.php b/server/app/common/model/tcm/DiagnosisGuahaoLog.php
new file mode 100644
index 00000000..e2560c27
--- /dev/null
+++ b/server/app/common/model/tcm/DiagnosisGuahaoLog.php
@@ -0,0 +1,17 @@
+<?php
+
+declare(strict_types=1);
+
+namespace app\common\model\tcm;
+
+use app\common\model\BaseModel;
+
+/**
+ * 诊单挂号 / 取消挂号操作日志（后台）
+ */
+class DiagnosisGuahaoLog extends BaseModel
+{
+    protected $name = 'tcm_diagnosis_guahao_log';
+
+    protected $autoWriteTimestamp = false;
+}
diff --git a/server/sql/1.9.20260430/add_diagnosis_guahao_log_menu.sql b/server/sql/1.9.20260430/add_diagnosis_guahao_log_menu.sql
new file mode 100644
index 00000000..dec6a1d1
--- /dev/null
+++ b/server/sql/1.9.20260430/add_diagnosis_guahao_log_menu.sql
@@ -0,0 +1,14 @@
+-- 中医诊单：查看挂号/取消挂号操作日志 API 权限
+SET @diag_menu_id := (SELECT id FROM zyt_system_menu WHERE perms = 'tcm.diagnosis/lists' LIMIT 1);
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @diag_menu_id, 'A', '挂号操作日志', '', 53,
+    'tcm.diagnosis/guahaoLogList', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @diag_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.diagnosis/guahaoLogList');
diff --git a/server/sql/1.9.20260430/add_prescription_order_patch_patient_menu.sql b/server/sql/1.9.20260430/add_prescription_order_patch_patient_menu.sql
new file mode 100644
index 00000000..ee8fc485
--- /dev/null
+++ b/server/sql/1.9.20260430/add_prescription_order_patch_patient_menu.sql
@@ -0,0 +1,16 @@
+-- 处方业务订单：接口权限「修改关联处方患者姓名/手机」
+-- 执行前确认表前缀为 zyt_；若已有相同 perms 则跳过。
+
+SET @po_menu_id := (SELECT id FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/lists' LIMIT 1);
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @po_menu_id, 'A', '修改处方患者信息', '', 52,
+    'tcm.prescriptionOrder/patchPrescriptionPatient', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @po_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/patchPrescriptionPatient');
diff --git a/server/sql/1.9.20260430/create_diagnosis_guahao_log.sql b/server/sql/1.9.20260430/create_diagnosis_guahao_log.sql
new file mode 100644
index 00000000..4f773a1c
--- /dev/null
+++ b/server/sql/1.9.20260430/create_diagnosis_guahao_log.sql
@@ -0,0 +1,16 @@
+-- 诊单挂号 / 取消挂号操作日志（谁在何时操作）
+-- 执行前确认表前缀为 zyt_
+
+CREATE TABLE IF NOT EXISTS `zyt_tcm_diagnosis_guahao_log` (
+  `id` int unsigned NOT NULL AUTO_INCREMENT,
+  `diagnosis_id` int unsigned NOT NULL DEFAULT '0' COMMENT '诊单 id（doctor_appointment.patient_id）',
+  `appointment_id` int unsigned NOT NULL DEFAULT '0' COMMENT '挂号记录 id',
+  `admin_id` int unsigned NOT NULL DEFAULT '0' COMMENT '操作人管理员 id',
+  `admin_name` varchar(64) NOT NULL DEFAULT '' COMMENT '操作人姓名',
+  `action` varchar(32) NOT NULL DEFAULT '' COMMENT 'create=挂号 cancel=取消挂号',
+  `summary` varchar(500) NOT NULL DEFAULT '' COMMENT '摘要',
+  `create_time` int unsigned NOT NULL DEFAULT '0',
+  PRIMARY KEY (`id`),
+  KEY `idx_diagnosis_id` (`diagnosis_id`),
+  KEY `idx_create_time` (`create_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='诊单挂号操作日志';