diff --git a/admin/src/views/first_visit/conversion/index.vue b/admin/src/views/first_visit/conversion/index.vue
index 8c8a7c5f1..756c68411 100644
--- a/admin/src/views/first_visit/conversion/index.vue
+++ b/admin/src/views/first_visit/conversion/index.vue
@@ -145,7 +145,7 @@
             <div class="panel-heading panel-heading--table">
                 <div>
                     <h2>明细数据列表</h2>
-                    <p>展开部门可查看人员明细；加粉=总进线=区间有效加粉（按员工+客户去重，须会话同意，剔除已删客户、继承客户及区间前已加过的重加）；挂号=已支付且实收低于 10 元的订单，预约=有效预约记录；开口率=开口/加粉，挂号率=挂号/加粉，面诊率=面诊/挂号（看挂号后流失），预约率=面诊/预约（看预约后未面诊），面诊接诊率=接诊诊单/面诊，接诊率=接诊诊单/总进线</p>
+                    <p>展开部门可查看人员明细；加粉=总进线=区间有效加粉（按员工+客户去重，须会话同意，剔除已删客户、继承客户、扫一扫/搜手机号/名片分享添加及区间前已加过的重加）；挂号=已支付且实收低于 10 元的订单，预约=有效预约记录；开口率=开口/加粉，挂号率=挂号/加粉，面诊率=面诊/挂号（看挂号后流失），预约率=面诊/预约（看预约后未面诊），面诊接诊率=接诊诊单/面诊，接诊率=接诊诊单/总进线</p>
                 </div>
                 <span>{{ dashboard.rows.length }} 个顶层节点</span>
             </div>
@@ -330,7 +330,7 @@ const timeOptions = [
     { label: '自定义', value: 'custom' }
 ]
 const metricCards: Array<{ key: string; label: string; type: MetricType; hint: string }> = [
-    { key: 'add_fans_count', label: '加粉数', type: 'count', hint: '区间有效加粉：去重，须会话同意，剔除已删客户、继承客户及区间前已加过的重加' },
+    { key: 'add_fans_count', label: '加粉数', type: 'count', hint: '区间有效加粉：去重，须会话同意，剔除已删客户、继承客户、扫一扫/搜手机号/名片分享添加及区间前已加过的重加' },
     { key: 'total_open_count', label: '开口数', type: 'count', hint: '来源于个人业绩录入' },
     { key: 'interview_count', label: '面诊', type: 'count', hint: '已完成预约' },
     { key: 'completed_order_count', label: '接诊诊单', type: 'count', hint: '业务订单，按创建人归属并过滤无效单' },
diff --git a/app/artifacts/debug_lxh_psb.py b/app/artifacts/debug_lxh_psb.py
deleted file mode 100644
index 29bb5685e..000000000
--- a/app/artifacts/debug_lxh_psb.py
+++ /dev/null
@@ -1,204 +0,0 @@
-# -*- coding: utf-8 -*-
-import json
-import sys
-from collections import defaultdict
-from datetime import datetime
-
-import pymysql
-
-sys.stdout.reconfigure(encoding="utf-8")
-
-conn = pymysql.connect(
-    host="127.0.0.1", user="root", password="root", database="zyt", charset="utf8mb4"
-)
-cur = conn.cursor(pymysql.cursors.DictCursor)
-
-START, END = 1786464000, 1786550399  # 2026-08-12
-
-
-def q(sql, args=None):
-    cur.execute(sql, args or ())
-    return cur.fetchall()
-
-
-def parse_follow(follow):
-    if isinstance(follow, str) and follow:
-        try:
-            return json.loads(follow)
-        except Exception:
-            return []
-    return follow if isinstance(follow, list) else []
-
-
-def contact_info(ext, user_id):
-    rows = q(
-        "SELECT id, name, follow_users, delete_time FROM zyt_qywx_external_contact WHERE external_userid=%s ORDER BY id DESC",
-        (ext,),
-    )
-    name = None
-    remark = None
-    add_way = None
-    still = False
-    createtime = None
-    for c in rows:
-        if name is None:
-            name = c.get("name")
-        for fu in parse_follow(c.get("follow_users")):
-            if not isinstance(fu, dict):
-                continue
-            uid = str(fu.get("userid") or fu.get("UserId") or "")
-            if uid == user_id:
-                still = True
-                remark = fu.get("remark") or fu.get("Remark") or remark
-                add_way = fu.get("add_way", fu.get("AddWay"))
-                createtime = fu.get("createtime") or fu.get("create_time") or createtime
-        if remark:
-            break
-    return {
-        "name": name,
-        "remark": remark,
-        "add_way": add_way,
-        "still_following": still,
-        "follow_createtime": createtime,
-        "follow_createtime_at": datetime.fromtimestamp(int(createtime)).strftime("%Y-%m-%d %H:%M:%S")
-        if createtime
-        else None,
-        "contact_rows": len(rows),
-    }
-
-
-def events_for(user_id, ext):
-    return q(
-        """
-        SELECT change_type, FROM_UNIXTIME(event_time) AS event_at
-        FROM zyt_qywx_external_contact_event
-        WHERE user_id=%s AND external_userid=%s
-          AND change_type IN ('add_external_contact','del_follow_user','del_external_contact','msg_audit_approved')
-        ORDER BY event_time
-        """,
-        (user_id, ext),
-    )
-
-
-def analyze(label, user_id):
-    print(f"\n========== {label} / {user_id} ==========")
-    admins = q(
-        "SELECT id, name, work_wechat_userid, disable, delete_time FROM zyt_admin WHERE work_wechat_userid=%s OR name LIKE %s",
-        (user_id, f"%{label}%"),
-    )
-    print("admin", json.dumps(admins, ensure_ascii=False, default=str))
-
-    raw = q(
-        """
-        SELECT e.external_userid, COUNT(*) AS add_events,
-               FROM_UNIXTIME(MIN(e.event_time)) AS first_in_day,
-               FROM_UNIXTIME(MAX(e.event_time)) AS last_in_day
-        FROM zyt_qywx_external_contact_event e
-        WHERE e.change_type='add_external_contact'
-          AND e.user_id=%s
-          AND e.event_time BETWEEN %s AND %s
-          AND e.external_userid <> ''
-        GROUP BY e.external_userid
-        ORDER BY MIN(e.event_time)
-        """,
-        (user_id, START, END),
-    )
-    print("raw unique adds", len(raw))
-
-    def filtered(extra_prev=False):
-        sql = """
-        SELECT e.external_userid, MIN(e.event_time) AS first_add,
-               FROM_UNIXTIME(MIN(e.event_time)) AS first_add_at
-        FROM zyt_qywx_external_contact_event e
-        WHERE e.change_type='add_external_contact'
-          AND e.user_id=%s
-          AND e.event_time BETWEEN %s AND %s
-          AND e.external_userid <> ''
-          AND EXISTS (
-            SELECT 1 FROM zyt_qywx_external_contact_event audit_e
-            WHERE audit_e.user_id=e.user_id
-              AND audit_e.external_userid=e.external_userid
-              AND audit_e.change_type='msg_audit_approved'
-              AND audit_e.event_time >= e.event_time
-              AND audit_e.event_time <= %s
-          )
-          AND NOT EXISTS (
-            SELECT 1 FROM zyt_qywx_external_contact_event del_e
-            WHERE del_e.user_id=e.user_id
-              AND del_e.external_userid=e.external_userid
-              AND del_e.change_type='del_external_contact'
-              AND del_e.event_time >= e.event_time
-              AND del_e.event_time <= %s
-          )
-        """
-        args = [user_id, START, END, END, END]
-        if extra_prev:
-            sql += """
-          AND NOT EXISTS (
-            SELECT 1 FROM zyt_qywx_external_contact_event prev_e
-            WHERE prev_e.user_id=e.user_id
-              AND prev_e.external_userid=e.external_userid
-              AND prev_e.change_type='add_external_contact'
-              AND prev_e.event_time < %s
-          )
-            """
-            args.append(START)
-        sql += " GROUP BY e.external_userid ORDER BY first_add"
-        return q(sql, args)
-
-    old_pairs = filtered(False)
-    new_pairs = filtered(True)
-    print("system OLD (before readd fix)", len(old_pairs))
-    print("system NEW (after readd fix)", len(new_pairs))
-
-    old_ids = {p["external_userid"] for p in old_pairs}
-    new_ids = {p["external_userid"] for p in new_pairs}
-    raw_ids = {p["external_userid"] for p in raw}
-
-    dropped_no_audit_or_del = raw_ids - old_ids
-    dropped_readd = old_ids - new_ids
-
-    print("\n--- dropped vs raw (no audit / customer-deleted) ---")
-    for ext in sorted(dropped_no_audit_or_del, key=lambda x: next(r["first_in_day"] for r in raw if r["external_userid"] == x)):
-        info = contact_info(ext, user_id)
-        ev = events_for(user_id, ext)
-        print(json.dumps({"ext": ext, **info, "events": ev, "raw": next(r for r in raw if r["external_userid"] == ext)}, ensure_ascii=False, default=str))
-
-    print("\n--- dropped as re-add (old counted, new excluded) ---")
-    for ext in sorted(dropped_readd):
-        info = contact_info(ext, user_id)
-        ev = events_for(user_id, ext)
-        print(json.dumps({"ext": ext, **info, "events": ev}, ensure_ascii=False, default=str))
-
-    print("\n--- inheritance add_way 201/202 among NEW pairs ---")
-    for p in new_pairs:
-        info = contact_info(p["external_userid"], user_id)
-        if info["add_way"] in (201, 202):
-            print(json.dumps({"ext": p["external_userid"], **info, "first_add_at": p["first_add_at"]}, ensure_ascii=False, default=str))
-
-    print("\n--- NEW counted list ---")
-    for p in new_pairs:
-        info = contact_info(p["external_userid"], user_id)
-        types = [e["change_type"] for e in events_for(user_id, p["external_userid"])]
-        print(json.dumps({
-            "first_add_at": p["first_add_at"],
-            "name": info["name"],
-            "remark": info["remark"],
-            "add_way": info["add_way"],
-            "follow_createtime_at": info["follow_createtime_at"],
-            "still_following": info["still_following"],
-            "event_types": sorted(set(types)),
-        }, ensure_ascii=False, default=str))
-
-    # people in old but check missing audit on the in-day add specifically
-    print("\n--- raw adds missing audit after THAT add or del_external ---")
-    for r in raw:
-        ext = r["external_userid"]
-        if ext in old_ids:
-            continue
-        ev = events_for(user_id, ext)
-        print(json.dumps({"ext": ext, "raw": r, "events": ev, **contact_info(ext, user_id)}, ensure_ascii=False, default=str))
-
-
-analyze("李晓焕", "LiXiaoHuan")
-analyze("彭世博", "GeiWoNaHaoDeA")
diff --git a/app/artifacts/debug_lxh_psb2.py b/app/artifacts/debug_lxh_psb2.py
deleted file mode 100644
index 34a9e78c2..000000000
--- a/app/artifacts/debug_lxh_psb2.py
+++ /dev/null
@@ -1,87 +0,0 @@
-# -*- coding: utf-8 -*-
-import json
-import sys
-import pymysql
-
-sys.stdout.reconfigure(encoding="utf-8")
-conn = pymysql.connect(host="127.0.0.1", user="root", password="root", database="zyt", charset="utf8mb4")
-cur = conn.cursor(pymysql.cursors.DictCursor)
-
-def q(sql, args=None):
-    cur.execute(sql, args or ())
-    return cur.fetchall()
-
-print("=== dept bindings ===")
-print(json.dumps(q("""
-SELECT a.id, a.name, a.work_wechat_userid, d.id AS dept_id, d.name AS dept_name
-FROM zyt_admin a
-LEFT JOIN zyt_admin_dept ad ON ad.admin_id=a.id
-LEFT JOIN zyt_dept d ON d.id=ad.dept_id AND d.delete_time IS NULL
-WHERE a.work_wechat_userid IN ('LiXiaoHuan','GeiWoNaHaoDeA','mu')
-ORDER BY a.id, d.id
-"""), ensure_ascii=False, default=str, indent=2))
-
-print("=== 员工@ contact type ===")
-print(json.dumps(q("""
-SELECT c.id, c.external_userid, c.name, c.type, c.corp_name, c.gender
-FROM zyt_qywx_external_contact_event e
-JOIN zyt_qywx_external_contact c ON c.external_userid=e.external_userid
-WHERE e.user_id='LiXiaoHuan' AND e.change_type='add_external_contact'
-  AND e.event_time BETWEEN 1786464000 AND 1786550399
-  AND (c.name LIKE '%@%' OR c.name LIKE '%员工%')
-GROUP BY c.id
-"""), ensure_ascii=False, default=str, indent=2))
-
-print("=== today Aug 13 counts ===")
-start, end = 1786550400, 1786636799
-for uid, name in [("LiXiaoHuan","李晓焕"),("GeiWoNaHaoDeA","彭世博")]:
-    cur.execute("""
-    SELECT COUNT(*) AS c FROM (
-      SELECT e.external_userid
-      FROM zyt_qywx_external_contact_event e
-      WHERE e.change_type='add_external_contact' AND e.user_id=%s
-        AND e.event_time BETWEEN %s AND %s AND e.external_userid<>''
-        AND EXISTS (
-          SELECT 1 FROM zyt_qywx_external_contact_event a
-          WHERE a.user_id=e.user_id AND a.external_userid=e.external_userid
-            AND a.change_type='msg_audit_approved' AND a.event_time>=e.event_time AND a.event_time<=%s
-        )
-        AND NOT EXISTS (
-          SELECT 1 FROM zyt_qywx_external_contact_event d
-          WHERE d.user_id=e.user_id AND d.external_userid=e.external_userid
-            AND d.change_type='del_external_contact' AND d.event_time>=e.event_time AND d.event_time<=%s
-        )
-        AND NOT EXISTS (
-          SELECT 1 FROM zyt_qywx_external_contact_event p
-          WHERE p.user_id=e.user_id AND p.external_userid=e.external_userid
-            AND p.change_type='add_external_contact' AND p.event_time<%s
-        )
-      GROUP BY e.external_userid
-    ) t
-    """, (uid, start, end, end, end, start))
-    print(name, "today unique", cur.fetchone())
-    cur.execute("""
-    SELECT COUNT(*) AS raw FROM (
-      SELECT external_userid FROM zyt_qywx_external_contact_event
-      WHERE change_type='add_external_contact' AND user_id=%s
-        AND event_time BETWEEN %s AND %s GROUP BY external_userid
-    ) t
-    """, (uid, start, end))
-    print(name, "today raw unique", cur.fetchone())
-
-print("=== personal yeji 8/12 open/fans ===")
-print(json.dumps(q("""
-SELECT a.name, y.yeji_date, y.add_fans_count, y.total_open_count, y.media_source, y.creator_id
-FROM zyt_personal_yeji y
-JOIN zyt_admin a ON a.id=y.creator_id
-WHERE a.work_wechat_userid IN ('LiXiaoHuan','GeiWoNaHaoDeA')
-  AND y.yeji_date BETWEEN '2026-08-12' AND '2026-08-13'
-ORDER BY a.name, y.yeji_date
-"""), ensure_ascii=False, default=str, indent=2))
-
-print("=== 李晓焕 add_way mix ===")
-print(json.dumps(q("""
-SELECT change_type, COUNT(*) c FROM zyt_qywx_external_contact_event
-WHERE user_id='LiXiaoHuan' AND event_time BETWEEN 1786464000 AND 1786550399
-GROUP BY change_type
-"""), ensure_ascii=False, default=str))
diff --git a/app/src/doctor_workstation/ui/dialogs/prescription.py b/app/src/doctor_workstation/ui/dialogs/prescription.py
index b38a57457..fa7a19b9f 100644
--- a/app/src/doctor_workstation/ui/dialogs/prescription.py
+++ b/app/src/doctor_workstation/ui/dialogs/prescription.py
@@ -756,7 +756,7 @@ class HerbRowWidget(QFrame):
         self.setObjectName("PrescriptionHerbCard" if card_mode else "SubtleCard")
         self.setProperty("duplicate", False)
         self._locked = locked
-        self.formula_combo = QComboBox()
+        self.formula_combo = QComboBox(self)
         self.formula_combo.addItem("主方", "主方")
         self.formula_combo.addItem("辅方", "辅方")
         _set_combo_data(
@@ -769,9 +769,10 @@ class HerbRowWidget(QFrame):
             repository,
             medicine_id=first_value(herb, "medicine_id", "id", default=None),
             name=str(first_value(herb, "name", "medicine_name", default="")),
+            parent=self,
         )
         self.medicine.setEnabled(not locked)
-        self.dosage = QDoubleSpinBox()
+        self.dosage = QDoubleSpinBox(self)
         self.dosage.setRange(0, 99999)
         self.dosage.setDecimals(1)
         self.dosage.setSingleStep(0.5)
@@ -779,7 +780,7 @@ class HerbRowWidget(QFrame):
         self.dosage.setValue(_float(first_value(herb, "dosage", "amount", default=0)))
         self.dosage.setEnabled(not locked)
         self.dosage.setMaximumWidth(130)
-        self.remove_button = QPushButton("删除")
+        self.remove_button = QPushButton("删除", self)
         self.remove_button.setProperty("variant", "ghost")
         self.remove_button.setVisible(not locked)
         self.remove_button.clicked.connect(lambda: self.remove_requested.emit(self))
@@ -871,14 +872,14 @@ class HerbEditor(QWidget):
         root = QVBoxLayout(self)
         root.setContentsMargins(0, 0, 0, 0)
         root.setSpacing(8)
-        self.actions_host = QWidget()
+        self.actions_host = QWidget(self)
         actions = QHBoxLayout(self.actions_host)
         actions.setContentsMargins(0, 0, 0, 0)
-        self.main_button = QPushButton("＋ 添加主方药材")
+        self.main_button = QPushButton("＋ 添加主方药材", self.actions_host)
         self.main_button.setProperty("variant", "secondary")
         self.main_button.clicked.connect(lambda: self.add_row(formula_type="主方"))
         actions.addWidget(self.main_button)
-        self.aux_button = QPushButton("＋ 添加辅方药材")
+        self.aux_button = QPushButton("＋ 添加辅方药材", self.actions_host)
         self.aux_button.setProperty("variant", "secondary")
         self.aux_button.clicked.connect(lambda: self.add_row(formula_type="辅方"))
         self.aux_button.setVisible(show_formula)
@@ -1786,7 +1787,7 @@ class PrescriptionEditorDialog(QDialog):
         copy.addWidget(subtitle)
         layout.addLayout(copy, 1)
         diagnosis_id = _int(self._source.get("diagnosis_id"), 0)
-        self.diagnosis_button = QPushButton("查看患者诊单详情")
+        self.diagnosis_button = QPushButton("查看患者诊单详情", header)
         self.diagnosis_button.setObjectName("PrescriptionDrawerDiagnosisButton")
         self.diagnosis_button.setVisible(diagnosis_id > 0)
         self.diagnosis_button.clicked.connect(
@@ -1961,7 +1962,7 @@ class PrescriptionEditorDialog(QDialog):
         self.add_aux_button = QPushButton("添加辅方")
         self.add_aux_button.clicked.connect(lambda: self.herbs.add_row(formula_type="辅方"))
         actions.addWidget(self.add_aux_button)
-        self.import_library_button = QPushButton("从处方库导入")
+        self.import_library_button = QPushButton("从处方库导入", actions_widget)
         self.import_library_button.clicked.connect(self._import_library)
         library_default = self.permissions is None
         self.import_library_button.setVisible(
@@ -2714,7 +2715,7 @@ def _status_text(value: Any) -> str:
     return {0: "待审核", 1: "已通过", 2: "已驳回"}.get(status, display_text(status))
 
 
-def render_case_record_html(prescription: Any) -> str:
+def render_case_record_html(prescription: Any, *, print_layout: bool = False) -> str:
     """Render the immutable diagnosis snapshot as the admin A3 case sheet.
 
     ``QTextDocument`` only implements a deliberately small HTML/CSS subset.  In
@@ -2918,13 +2919,17 @@ def render_case_record_html(prescription: Any) -> str:
             ),
         ),
     ]
+    body_padding = "0" if print_layout else "12px"
+    body_background = "#ffffff" if print_layout else "#eef1f5"
+    paper_border = "0" if print_layout else "1px solid #dcdfe6"
+    content_padding = "36px 42px 44px" if print_layout else "26px 30px 34px"
     return f"""
 <!doctype html><html><head><meta charset="utf-8"><style>
-body {{ margin:0; padding:12px; background:#eef1f5; color:#303133;
+body {{ margin:0; padding:{body_padding}; background:{body_background}; color:#303133;
         font-family:"Microsoft YaHei","PingFang SC","Segoe UI",sans-serif;
         font-size:13px; }}
-.paper {{ width:100%; margin:0 auto; background:#ffffff; border:1px solid #dcdfe6; }}
-.paper-content {{ padding:26px 30px 34px; vertical-align:top; }}
+.paper {{ width:100%; margin:0 auto; background:#ffffff; border:{paper_border}; }}
+.paper-content {{ padding:{content_padding}; vertical-align:top; }}
 h1 {{ text-align:center; font-size:20px; font-weight:600; margin:0;
       padding:0 0 14px; border-bottom:2px solid #303133; }}
 .cr-section {{ margin-top:14px; border-collapse:collapse; }}
@@ -3510,6 +3515,40 @@ def render_prescription_slip_image(
     return image
 
 
+def render_case_record_image(
+    prescription: Any,
+    *,
+    width: int = 1123,
+    scale: float = 2.0,
+) -> QImage:
+    """Rasterize the immutable detailed case record for A3 print/PDF output."""
+
+    document = QTextDocument()
+    document.setDocumentMargin(0)
+    family = _ensure_slip_fonts()
+    default_font = QFont(family)
+    default_font.setPixelSize(13)
+    default_font.setStyleHint(QFont.StyleHint.SansSerif)
+    document.setDefaultFont(default_font)
+    document.setTextWidth(float(width))
+    document.setHtml(render_case_record_html(prescription, print_layout=True))
+    size = document.size()
+    pixel_w = max(1, int(math.ceil(max(size.width(), float(width)) * scale)))
+    pixel_h = max(1, int(math.ceil(max(size.height(), 300.0) * scale)))
+    image = QImage(pixel_w, pixel_h, QImage.Format.Format_RGB32)
+    image.setDevicePixelRatio(1.0)
+    image.fill(QColor("#ffffff"))
+    painter = QPainter(image)
+    try:
+        painter.setRenderHint(QPainter.RenderHint.Antialiasing)
+        painter.setRenderHint(QPainter.RenderHint.TextAntialiasing)
+        painter.scale(scale, scale)
+        document.drawContents(painter)
+    finally:
+        painter.end()
+    return image
+
+
 def count_slip_ink_pixels(image: QImage, *, step: int = 3, ceiling: int = 245) -> int:
     """Count sampled pixels that are not paper-white.  Used to catch blank exports."""
 
@@ -3652,12 +3691,12 @@ class PrescriptionDetailDialog(QDialog):
         self.resize(920, 780)
         root = QVBoxLayout(self)
         actions = QHBoxLayout()
-        self.diagnosis_button = QPushButton("查看诊单详情")
+        self.diagnosis_button = QPushButton("查看诊单详情", self)
         diagnosis_id = _int(first_value(prescription, "diagnosis_id"), 0)
         self.diagnosis_button.setVisible(can_open_diagnosis and diagnosis_id > 0)
         self.diagnosis_button.clicked.connect(lambda: self.diagnosis_requested.emit(diagnosis_id))
         actions.addWidget(self.diagnosis_button)
-        self.orders_button = QPushButton("查看关联订单")
+        self.orders_button = QPushButton("查看关联订单", self)
         prescription_id = _int(first_value(prescription, "id", "prescription_id"), 0)
         self.orders_button.setVisible(can_open_orders and prescription_id > 0)
         self.orders_button.clicked.connect(lambda: self.orders_requested.emit(prescription_id))
@@ -3671,7 +3710,7 @@ class PrescriptionDetailDialog(QDialog):
         pdf_button.clicked.connect(self.choose_pdf_path)
         actions.addWidget(pdf_button)
         root.addLayout(actions)
-        self.status_banner = MessageBanner()
+        self.status_banner = MessageBanner(parent=self)
         self.status_banner.setObjectName("PrescriptionDetailStatusBanner")
         status_lines: list[str] = []
         if _bool(first_value(prescription, "void_status", "is_void", default=False)):
@@ -3746,15 +3785,30 @@ class PrescriptionDetailDialog(QDialog):
     def _current_variant(self) -> str:
         return "user" if self.tabs.tabText(self.tabs.currentIndex()) == "处方联" else "internal"
 
+    def _is_case_record_selected(self) -> bool:
+        return self.tabs.tabText(self.tabs.currentIndex()) == "详细病历"
+
+    def _current_output_image(self) -> QImage:
+        if self._is_case_record_selected():
+            return render_case_record_image(self.prescription)
+        return render_prescription_slip_image(
+            self.prescription,
+            variant=self._current_variant(),
+        )
+
+    def _current_page_size(self) -> QPageSize:
+        page_id = (
+            QPageSize.PageSizeId.A3 if self._is_case_record_selected() else QPageSize.PageSizeId.A4
+        )
+        return QPageSize(page_id)
+
     def print_slip(self) -> None:
         printer = QPrinter(QPrinter.PrinterMode.ScreenResolution)
-        printer.setPageSize(QPageSize(QPageSize.PageSizeId.A4))
+        printer.setPageSize(self._current_page_size())
         printer.setPageMargins(QMarginsF(8, 8, 8, 8), QPageLayout.Unit.Millimeter)
         dialog = QPrintDialog(printer, self)
         if dialog.exec() == QDialog.DialogCode.Accepted:
-            image = render_prescription_slip_image(
-                self.prescription, variant=self._current_variant()
-            )
+            image = self._current_output_image()
             painter = QPainter(printer)
             try:
                 _draw_slip_image_on_page(painter, image)
@@ -3762,12 +3816,18 @@ class PrescriptionDetailDialog(QDialog):
                 painter.end()
 
     def choose_pdf_path(self) -> None:
-        patient = str(first_value(self.prescription, "patient_name", default="处方"))
-        prescription_id = first_value(self.prescription, "id", default="")
-        suggested = f"处方-{patient}-{prescription_id}.pdf"
+        patient = str(first_value(self.prescription, "patient_name", default="患者"))
+        if self._is_case_record_selected():
+            diagnosis_id = first_value(self.prescription, "diagnosis_id", default="")
+            suggested = f"病历-{patient}-{diagnosis_id}.pdf"
+            caption = "导出病历 PDF"
+        else:
+            prescription_id = first_value(self.prescription, "id", default="")
+            suggested = f"处方-{patient}-{prescription_id}.pdf"
+            caption = "导出处方 PDF"
         path, _selected = QFileDialog.getSaveFileName(
             self,
-            "导出处方 PDF",
+            caption,
             suggested,
             "PDF 文件 (*.pdf)",
         )
@@ -3778,23 +3838,30 @@ class PrescriptionDetailDialog(QDialog):
         output = str(path)
         if not output.lower().endswith(".pdf"):
             output += ".pdf"
-        image = render_prescription_slip_image(self.prescription, variant=self._current_variant())
+        is_case_record = self._is_case_record_selected()
+        output_label = "详细病历" if is_case_record else "处方笺"
+        image = self._current_output_image()
         if count_slip_ink_pixels(image) <= 0:
-            QMessageBox.warning(self, "导出失败", "处方笺未能生成可见内容，请重试。")
+            QMessageBox.warning(self, "导出失败", f"{output_label}未能生成可见内容，请重试。")
             return
-        page_size = QPageSize(QPageSize.PageSizeId.A4)
+        page_size = self._current_page_size()
+        page_label = "A3" if is_case_record else "A4"
         if not page_size.isValid():
-            QMessageBox.warning(self, "导出失败", "无法创建有效的 A4 页面，请重试。")
+            QMessageBox.warning(self, "导出失败", f"无法创建有效的 {page_label} 页面，请重试。")
             return
         writer = QPdfWriter(output)
         if not writer.setPageSize(page_size):
-            QMessageBox.warning(self, "导出失败", "无法创建有效的 A4 页面，请重试。")
+            QMessageBox.warning(self, "导出失败", f"无法创建有效的 {page_label} 页面，请重试。")
             return
         if (
             not writer.setPageMargins(QMarginsF(8, 8, 8, 8), QPageLayout.Unit.Millimeter)
             or not writer.pageLayout().isValid()
         ):
-            QMessageBox.warning(self, "导出失败", "无法设置 A4 页面边距，请重试。")
+            QMessageBox.warning(
+                self,
+                "导出失败",
+                f"无法设置 {page_label} 页面边距，请重试。",
+            )
             return
         writer.setResolution(300)
         painter = QPainter()
@@ -4074,18 +4141,18 @@ class PrescriptionOrderDialog(QDialog):
         self.amount.setDecimals(2)
         self.amount.setPrefix("¥ ")
         form.addRow("订单金额 *", self.amount)
-        self.internal_cost = QDoubleSpinBox()
+        self.internal_cost = QDoubleSpinBox(tab)
         self.internal_cost.setRange(0, 10_000_000)
         self.internal_cost.setDecimals(2)
         self.internal_cost.setPrefix("¥ ")
         self.internal_cost.setVisible(self.can_view_internal_cost)
-        self.internal_cost_label = QLabel("内部成本")
+        self.internal_cost_label = QLabel("内部成本", tab)
         self.internal_cost_label.setVisible(self.can_view_internal_cost)
         form.addRow(self.internal_cost_label, self.internal_cost)
-        self.remark_extra = QTextEdit()
+        self.remark_extra = QTextEdit(tab)
         self.remark_extra.setMaximumHeight(80)
         self.remark_extra.setVisible(self.can_edit_pharmacy_remark)
-        self.remark_extra_label = QLabel("药房备注")
+        self.remark_extra_label = QLabel("药房备注", tab)
         self.remark_extra_label.setVisible(self.can_edit_pharmacy_remark)
         form.addRow(self.remark_extra_label, self.remark_extra)
         self.remark_assistant = QTextEdit()
diff --git a/app/src/doctor_workstation/ui/pages/appointments.py b/app/src/doctor_workstation/ui/pages/appointments.py
index c8d8c78de..a0a4b882a 100644
--- a/app/src/doctor_workstation/ui/pages/appointments.py
+++ b/app/src/doctor_workstation/ui/pages/appointments.py
@@ -427,7 +427,7 @@ class AppointmentsPage(QWidget):
         self.patient_input.returnPressed.connect(self._search)
         layout.addWidget(self.patient_input)
 
-        self.doctor_input = QLineEdit()
+        self.doctor_input = QLineEdit(frame)
         self.doctor_input.setPlaceholderText("医生")
         self.doctor_input.setClearButtonEnabled(True)
         self.doctor_input.setMaximumWidth(120)
@@ -572,7 +572,10 @@ class AppointmentsPage(QWidget):
         *,
         danger: bool = False,
     ) -> QPushButton:
-        button = QPushButton(label)
+        # Permission visibility is evaluated before the toolbar layout adopts
+        # the button.  Give it a real owner up front so setVisible(True) cannot
+        # create a transient top-level HWND on Windows.
+        button = QPushButton(label, self)
         button.setProperty("variant", "danger" if danger else "secondary")
         button.setVisible(_canonical_allowed(self.permissions, permission, default=False))
         button.setEnabled(False)
diff --git a/app/src/doctor_workstation/ui/pages/consultations.py b/app/src/doctor_workstation/ui/pages/consultations.py
index d3d026ab0..167afcec2 100644
--- a/app/src/doctor_workstation/ui/pages/consultations.py
+++ b/app/src/doctor_workstation/ui/pages/consultations.py
@@ -965,7 +965,7 @@ class ConsultationsPage(QWidget):
         self.completed_button = DiagnosisChip("已完成", semantic="success")
         self.completed_button.clicked.connect(self._choose_completed)
         self.main_chip_flow.flow.addWidget(self.completed_button)
-        self.pending_assign_wrap = QWidget()
+        self.pending_assign_wrap = QWidget(self)
         pending_assign_wrap_layout = QHBoxLayout(self.pending_assign_wrap)
         pending_assign_wrap_layout.setContentsMargins(8, 0, 0, 0)
         pending_assign_wrap_layout.setSpacing(8)
@@ -1135,17 +1135,17 @@ class ConsultationsPage(QWidget):
         toolbar_layout = QHBoxLayout(toolbar)
         toolbar_layout.setContentsMargins(16, 10, 16, 10)
         toolbar_layout.setSpacing(8)
-        self.add_button = QPushButton("新增诊单")
+        self.add_button = QPushButton("新增诊单", toolbar)
         self.add_button.setProperty("variant", "primary")
         self.add_button.setVisible(_canonical_allowed(permissions, "tcm.diagnosis/add"))
         self.add_button.clicked.connect(self._add_diagnosis)
         toolbar_layout.addWidget(self.add_button)
-        self.batch_assign_button = QPushButton("批量指派医助")
+        self.batch_assign_button = QPushButton("批量指派医助", toolbar)
         self.batch_assign_button.setProperty("variant", "success")
         self.batch_assign_button.setVisible(_canonical_allowed(permissions, "tcm.diagnosis/assign"))
         self.batch_assign_button.clicked.connect(self._batch_assign)
         toolbar_layout.addWidget(self.batch_assign_button)
-        self.batch_cancel_assign_button = QPushButton("批量取消指派")
+        self.batch_cancel_assign_button = QPushButton("批量取消指派", toolbar)
         self.batch_cancel_assign_button.setProperty("variant", "warning")
         self.batch_cancel_assign_button.setVisible(
             _canonical_allowed(permissions, "tcm.diagnosis/assign")
diff --git a/app/src/doctor_workstation/ui/pages/patients.py b/app/src/doctor_workstation/ui/pages/patients.py
index 3123a8a13..7468bcc22 100644
--- a/app/src/doctor_workstation/ui/pages/patients.py
+++ b/app/src/doctor_workstation/ui/pages/patients.py
@@ -352,7 +352,7 @@ class _LegacyAppointmentDialog(QDialog):
         self.remark.setPlaceholderText("预约备注（可选）")
         form.addRow("备注", self.remark)
         root.addLayout(form)
-        self.banner = MessageBanner()
+        self.banner = MessageBanner(parent=self)
         self.banner.show_message("正在加载医生、渠道与今日挂号状态…", "info")
         root.addWidget(self.banner)
         buttons = QDialogButtonBox(
@@ -1297,25 +1297,25 @@ class PatientListWorkspace(QWidget):
     def _build_actions(self) -> QHBoxLayout:
         layout = QHBoxLayout()
         layout.setSpacing(6)
-        self.diagnosis_button = QPushButton("诊单")
+        self.diagnosis_button = QPushButton("诊单", self)
         self.diagnosis_button.setProperty("variant", "primary")
         self.diagnosis_button.clicked.connect(self._open_selected_diagnosis)
         layout.addWidget(self.diagnosis_button)
-        self.appointment_button = QPushButton("预约")
+        self.appointment_button = QPushButton("预约", self)
         self.appointment_button.clicked.connect(
             lambda: self._emit_selected(self.appointment_requested)
         )
         layout.addWidget(self.appointment_button)
-        self.assign_button = QPushButton("指派医助")
+        self.assign_button = QPushButton("指派医助", self)
         self.assign_button.clicked.connect(lambda: self._emit_selected(self.assign_requested))
         layout.addWidget(self.assign_button)
-        self.fill_id_button = QPushButton("补全身份证")
+        self.fill_id_button = QPushButton("补全身份证", self)
         self.fill_id_button.clicked.connect(lambda: self._emit_selected(self.fill_id_requested))
         layout.addWidget(self.fill_id_button)
-        self.orders_button = QPushButton("关联订单")
+        self.orders_button = QPushButton("关联订单", self)
         self.orders_button.clicked.connect(lambda: self._emit_selected(self.orders_requested))
         layout.addWidget(self.orders_button)
-        self.cancel_button = QPushButton("取消挂号")
+        self.cancel_button = QPushButton("取消挂号", self)
         self.cancel_button.setProperty("variant", "danger")
         self.cancel_button.clicked.connect(lambda: self._emit_selected(self.cancel_requested))
         layout.addWidget(self.cancel_button)
diff --git a/app/src/doctor_workstation/ui/pages/prescription_library.py b/app/src/doctor_workstation/ui/pages/prescription_library.py
index efe2c57c5..8be6b5182 100644
--- a/app/src/doctor_workstation/ui/pages/prescription_library.py
+++ b/app/src/doctor_workstation/ui/pages/prescription_library.py
@@ -97,7 +97,7 @@ class PrescriptionLibraryPage(QWidget):
             "我的处方库",
             "管理可复用药材组合；公开模板可被其他医生导入，禁用修改仅作用于导入后的处方。",
         )
-        self.new_button = QPushButton("＋ 新增处方")
+        self.new_button = QPushButton("＋ 新增处方", header)
         self.new_button.setProperty("variant", "primary")
         self.new_button.setVisible(has_permission(permissions, "wcf.prescription/add"))
         self.new_button.clicked.connect(self._new_template)
@@ -147,17 +147,17 @@ class PrescriptionLibraryPage(QWidget):
         title.setProperty("role", "sectionTitle")
         toolbar.addWidget(title)
         toolbar.addStretch(1)
-        self.view_button = QPushButton("查看")
+        self.view_button = QPushButton("查看", card)
         self.view_button.setVisible(has_permission(permissions, "wcf.prescription/read"))
         self.view_button.setEnabled(False)
         self.view_button.clicked.connect(self._view_selected)
         toolbar.addWidget(self.view_button)
-        self.edit_button = QPushButton("编辑")
+        self.edit_button = QPushButton("编辑", card)
         self.edit_button.setVisible(has_permission(permissions, "wcf.prescription/edit"))
         self.edit_button.setEnabled(False)
         self.edit_button.clicked.connect(self._edit_selected)
         toolbar.addWidget(self.edit_button)
-        self.delete_button = QPushButton("删除")
+        self.delete_button = QPushButton("删除", card)
         self.delete_button.setProperty("variant", "danger")
         self.delete_button.setVisible(has_permission(permissions, "wcf.prescription/delete"))
         self.delete_button.setEnabled(False)
diff --git a/app/src/doctor_workstation/ui/pages/prescriptions.py b/app/src/doctor_workstation/ui/pages/prescriptions.py
index 5eda9d671..e5bda7388 100644
--- a/app/src/doctor_workstation/ui/pages/prescriptions.py
+++ b/app/src/doctor_workstation/ui/pages/prescriptions.py
@@ -280,11 +280,11 @@ class PrescriptionsPage(QWidget):
             "已开处方",
             "管理处方审核、患者修正与履约订单；已通过且未作废的处方只允许查看。",
         )
-        self.orders_button = QPushButton("业务订单")
+        self.orders_button = QPushButton("业务订单", header)
         self.orders_button.setVisible(has_permission(permissions, "tcm.prescriptionOrder/lists"))
         self.orders_button.clicked.connect(lambda: self._open_orders())
         header.add_action(self.orders_button)
-        self.add_button = QPushButton("＋ 新增处方")
+        self.add_button = QPushButton("＋ 新增处方", header)
         self.add_button.setProperty("variant", "primary")
         self.add_button.setVisible(has_permission(permissions, "cf.prescription/add"))
         self.add_button.clicked.connect(self._add_prescription)
@@ -436,7 +436,9 @@ class PrescriptionsPage(QWidget):
         *,
         danger: bool = False,
     ) -> QPushButton:
-        button = QPushButton(text)
+        # Keep permission-driven initial visibility inside the page hierarchy;
+        # otherwise Windows briefly exposes the button as its own window.
+        button = QPushButton(text, self)
         if danger:
             button.setProperty("variant", "danger")
         button.setVisible(has_permission(self.permissions, permission))
diff --git a/app/src/doctor_workstation/ui/pages/reception.py b/app/src/doctor_workstation/ui/pages/reception.py
index 247895ac4..69b556315 100644
--- a/app/src/doctor_workstation/ui/pages/reception.py
+++ b/app/src/doctor_workstation/ui/pages/reception.py
@@ -434,13 +434,13 @@ class ReceptionPage(QWidget):
         self.video_button.setProperty("variant", "secondary")
         self.video_button.clicked.connect(self._request_video)
         action_row.addWidget(self.video_button)
-        self.edit_button = QPushButton("编辑病历")
+        self.edit_button = QPushButton("编辑病历", content)
         self.edit_button.setProperty("variant", "secondary")
         self.edit_button.clicked.connect(self._edit_diagnosis)
         self.edit_button.setVisible(self._can_edit)
         action_row.addWidget(self.edit_button)
         action_row.addStretch(1)
-        self.complete_button = QPushButton("完成接诊")
+        self.complete_button = QPushButton("完成接诊", content)
         self.complete_button.setProperty("variant", "primary")
         self.complete_button.clicked.connect(self._complete_appointment)
         self.complete_button.setVisible(self._can_complete)
@@ -520,32 +520,32 @@ class ReceptionPage(QWidget):
         self.notes_layout.setSpacing(8)
         detail_layout.addWidget(self.notes_container)
 
-        self.note_edit = QTextEdit()
+        self.note_edit = QTextEdit(content)
         self.note_edit.setPlaceholderText("记录本次沟通要点（最多 500 字，不会自动提交）")
         self.note_edit.setMaximumHeight(105)
         self.note_edit.textChanged.connect(self._limit_note_text)
         self.note_edit.setVisible(self._can_note)
         detail_layout.addWidget(self.note_edit)
-        self.note_counter = QLabel(f"0 / {NOTE_LIMIT}")
+        self.note_counter = QLabel(f"0 / {NOTE_LIMIT}", content)
         self.note_counter.setProperty("role", "muted")
         self.note_counter.setAlignment(Qt.AlignmentFlag.AlignRight)
         self.note_counter.setVisible(self._can_note)
         detail_layout.addWidget(self.note_counter)
 
         attachment_actions = QHBoxLayout()
-        self.add_tongue_button = QPushButton("添加舌苔图")
+        self.add_tongue_button = QPushButton("添加舌苔图", content)
         self.add_tongue_button.setProperty("variant", "secondary")
         self.add_tongue_button.clicked.connect(self._choose_tongue_images)
         self.add_tongue_button.setVisible(self._can_note)
         attachment_actions.addWidget(self.add_tongue_button)
-        self.add_report_button = QPushButton("添加检查报告")
+        self.add_report_button = QPushButton("添加检查报告", content)
         self.add_report_button.setProperty("variant", "secondary")
         self.add_report_button.clicked.connect(self._choose_report_files)
         self.add_report_button.setVisible(self._can_note)
         attachment_actions.addWidget(self.add_report_button)
         attachment_actions.addStretch(1)
         detail_layout.addLayout(attachment_actions)
-        self.pending_attachments = QWidget()
+        self.pending_attachments = QWidget(content)
         self.pending_attachments_layout = QVBoxLayout(self.pending_attachments)
         self.pending_attachments_layout.setContentsMargins(0, 0, 0, 0)
         self.pending_attachments_layout.setSpacing(4)
@@ -554,7 +554,7 @@ class ReceptionPage(QWidget):
 
         note_action = QHBoxLayout()
         note_action.addStretch(1)
-        self.save_note_button = QPushButton("保存备注")
+        self.save_note_button = QPushButton("保存备注", content)
         self.save_note_button.setProperty("variant", "secondary")
         self.save_note_button.clicked.connect(self._save_note)
         self.save_note_button.setVisible(self._can_note)
diff --git a/app/src/doctor_workstation/ui/widgets.py b/app/src/doctor_workstation/ui/widgets.py
index ffca2639d..29e3694dd 100644
--- a/app/src/doctor_workstation/ui/widgets.py
+++ b/app/src/doctor_workstation/ui/widgets.py
@@ -392,10 +392,10 @@ class PageHeader(QWidget):
         layout.setSpacing(16)
         text_layout = QVBoxLayout()
         text_layout.setSpacing(3)
-        self.title_label = QLabel(title)
+        self.title_label = QLabel(title, self)
         self.title_label.setProperty("role", "pageTitle")
         text_layout.addWidget(self.title_label)
-        self.subtitle_label = QLabel(subtitle)
+        self.subtitle_label = QLabel(subtitle, self)
         self.subtitle_label.setProperty("role", "muted")
         self.subtitle_label.setWordWrap(True)
         self.subtitle_label.setVisible(bool(subtitle))
@@ -454,21 +454,21 @@ class EmptyState(QWidget):
         layout.setContentsMargins(24, 44, 24, 44)
         layout.setAlignment(Qt.AlignmentFlag.AlignCenter)
         layout.setSpacing(8)
-        glyph = QLabel("○")
+        glyph = QLabel("○", self)
         glyph.setObjectName("EmptyStateGlyph")
         glyph.setAlignment(Qt.AlignmentFlag.AlignCenter)
         glyph.setFixedSize(44, 44)
         layout.addWidget(glyph)
-        title_label = QLabel(title)
+        title_label = QLabel(title, self)
         title_label.setProperty("role", "sectionTitle")
         title_label.setAlignment(Qt.AlignmentFlag.AlignCenter)
         layout.addWidget(title_label)
-        description_label = QLabel(description)
+        description_label = QLabel(description, self)
         description_label.setProperty("role", "muted")
         description_label.setAlignment(Qt.AlignmentFlag.AlignCenter)
         description_label.setWordWrap(True)
         layout.addWidget(description_label)
-        self.action_button = QPushButton(action_text)
+        self.action_button = QPushButton(action_text, self)
         self.action_button.setProperty("variant", "secondary")
         self.action_button.setVisible(bool(action_text))
         self.action_button.clicked.connect(self.action_requested)
@@ -483,11 +483,11 @@ class MessageBanner(QFrame):
         layout = QHBoxLayout(self)
         layout.setContentsMargins(12, 9, 12, 9)
         layout.setSpacing(9)
-        self.icon = QLabel("i")
+        self.icon = QLabel("i", self)
         self.icon.setObjectName("MessageBannerIcon")
         self.icon.setAlignment(Qt.AlignmentFlag.AlignCenter)
         self.icon.setFixedSize(20, 20)
-        self.label = QLabel(text)
+        self.label = QLabel(text, self)
         self.label.setObjectName("MessageBannerText")
         self.label.setWordWrap(True)
         layout.addWidget(self.icon)
diff --git a/app/tests/test_busy_overlay.py b/app/tests/test_busy_overlay.py
index c0acadd8d..c9758f0e9 100644
--- a/app/tests/test_busy_overlay.py
+++ b/app/tests/test_busy_overlay.py
@@ -7,10 +7,12 @@ from typing import Any
 os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
 
 import pytest
-from PySide6.QtCore import QSettings
+from PySide6.QtCore import QEvent, QObject, QSettings
 from PySide6.QtWidgets import QApplication, QWidget
 
+from doctor_workstation.services import DemoDoctorRepository
 from doctor_workstation.ui.login import LoginWindow
+from doctor_workstation.ui.shell import ShellWindow
 from doctor_workstation.ui.widgets import BusyOverlay
 
 
@@ -87,3 +89,41 @@ def test_login_loading_does_not_spawn_extra_windows(
 
     window.close()
     application.processEvents()
+
+
+def test_shell_construction_never_shows_orphan_business_controls(
+    application: QApplication,
+) -> None:
+    shown: list[tuple[str, str]] = []
+
+    class OrphanShowRecorder(QObject):
+        def eventFilter(self, watched: QObject, event: QEvent) -> bool:  # noqa: N802
+            if (
+                event.type() == QEvent.Type.Show
+                and isinstance(watched, QWidget)
+                and watched.parentWidget() is None
+            ):
+                text = getattr(watched, "text", lambda: "")()
+                shown.append((type(watched).__name__, str(text)))
+            return False
+
+    repository = DemoDoctorRepository()
+    session = repository.login(repository.DEMO_ACCOUNT, repository.DEMO_PASSWORD)
+    recorder = OrphanShowRecorder(application)
+    application.installEventFilter(recorder)
+    try:
+        shell = ShellWindow(
+            repository,
+            {
+                "session": session,
+                "user": session.user,
+                "demo_mode": True,
+            },
+            permissions=session.permissions,
+        )
+    finally:
+        application.removeEventFilter(recorder)
+
+    assert shown == []
+    shell.close()
+    application.processEvents()
diff --git a/app/tests/test_prescription_ui.py b/app/tests/test_prescription_ui.py
index 7fd1cd7eb..a24123293 100644
--- a/app/tests/test_prescription_ui.py
+++ b/app/tests/test_prescription_ui.py
@@ -7,10 +7,10 @@ from typing import Any
 os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
 
 import pytest
-from PySide6.QtCore import QSize, Qt
+from PySide6.QtCore import QEvent, QObject, QSize, Qt
 from PySide6.QtGui import QColor, QImage, QPainter
 from PySide6.QtPdf import QPdfDocument
-from PySide6.QtWidgets import QApplication
+from PySide6.QtWidgets import QApplication, QDialog, QWidget
 
 from doctor_workstation import app as app_module
 from doctor_workstation.core import PermissionSet
@@ -354,6 +354,85 @@ def test_editor_builds_complete_add_payload(
     application.processEvents()
 
 
+def test_prescription_workflows_never_show_orphan_child_controls(
+    application: QApplication,
+    immediate_async: None,
+) -> None:
+    shown: list[tuple[str, str]] = []
+
+    class OrphanShowRecorder(QObject):
+        def eventFilter(self, watched: QObject, event: QEvent) -> bool:  # noqa: N802
+            if (
+                event.type() == QEvent.Type.Show
+                and isinstance(watched, QWidget)
+                and not isinstance(watched, QDialog)
+                and watched.parentWidget() is None
+            ):
+                text = getattr(watched, "text", lambda: "")()
+                shown.append((type(watched).__name__, str(text)))
+            return False
+
+    repository = SimpleNamespace(
+        list_medicines=lambda **_kwargs: {
+            "lists": [{"id": 31, "name": "黄芪"}],
+            "count": 1,
+        }
+    )
+    prescription = {
+        "id": 12,
+        "diagnosis_id": 6,
+        "patient_name": "林晓岚",
+        "phone": "13800000000",
+        "audit_status": 1,
+        "herbs": [{"medicine_id": 31, "name": "黄芪", "dosage": 15}],
+    }
+    recorder = OrphanShowRecorder(application)
+    application.installEventFilter(recorder)
+    widgets: list[QWidget] = []
+    try:
+        widgets.extend(
+            [
+                dialog_module.HerbRowWidget(
+                    repository,
+                    prescription["herbs"][0],
+                    show_formula=True,
+                    locked=False,
+                ),
+                dialog_module.HerbEditor(
+                    repository,
+                    show_formula=True,
+                    show_actions=True,
+                ),
+                PrescriptionEditorDialog(
+                    repository,
+                    prescription,
+                    mode="edit",
+                    permissions=PermissionSet(
+                        ["cf.prescription/edit", "tcm.prescriptionLibrary/lists"]
+                    ),
+                ),
+                PrescriptionDetailDialog(
+                    prescription,
+                    can_open_diagnosis=True,
+                    can_open_orders=True,
+                ),
+                PrescriptionOrderDialog(
+                    repository,
+                    prescription,
+                    can_view_internal_cost=True,
+                    can_edit_pharmacy_remark=True,
+                ),
+            ]
+        )
+    finally:
+        application.removeEventFilter(recorder)
+
+    assert shown == []
+    for widget in widgets:
+        widget.close()
+    application.processEvents()
+
+
 def test_editor_matches_admin_four_observation_fields_and_edit_context(
     application: QApplication,
     immediate_async: None,
@@ -667,6 +746,73 @@ def test_prescription_detail_can_open_immutable_case_record_tab(
     application.processEvents()
 
 
+def test_case_record_tab_exports_case_record_as_a3_pdf(
+    application: QApplication,
+    tmp_path: Any,
+    monkeypatch: pytest.MonkeyPatch,
+) -> None:
+    prescription = {
+        "id": 12,
+        "diagnosis_id": 8169,
+        "patient_name": "何福萍",
+        "case_record": {
+            "diagnosis_id": 8169,
+            "patient_name": "何福萍",
+            "phone": "13800138000",
+            "diagnosis_type": "follow_up",
+            "local_hospital_name": "市中医院",
+            "symptoms": "口渴、乏力、睡眠欠佳",
+            "tongue_coating": "舌红少苔",
+            "pulse": "脉细数",
+            "doctor_advice": "规律复诊",
+        },
+    }
+    case_render_calls: list[str] = []
+    original_case_renderer = dialog_module.render_case_record_image
+
+    def render_case(*args: Any, **kwargs: Any) -> QImage:
+        case_render_calls.append("case")
+        return original_case_renderer(*args, **kwargs)
+
+    def reject_prescription_render(*_args: Any, **_kwargs: Any) -> QImage:
+        pytest.fail("详细病历页签不应调用处方笺渲染器")
+
+    monkeypatch.setattr(dialog_module, "render_case_record_image", render_case)
+    monkeypatch.setattr(
+        dialog_module,
+        "render_prescription_slip_image",
+        reject_prescription_render,
+    )
+    app_module._install_chinese_translations(application)
+    viewer = PrescriptionDetailDialog(prescription)
+    case_index = next(
+        index for index in range(viewer.tabs.count()) if viewer.tabs.tabText(index) == "详细病历"
+    )
+    viewer.tabs.setCurrentIndex(case_index)
+    output = tmp_path / "case-record.pdf"
+
+    viewer.export_pdf(output)
+
+    pdf = QPdfDocument()
+    assert pdf.load(str(output)) == QPdfDocument.Error.None_
+    assert pdf.pageCount() == 1
+    page_size = pdf.pagePointSize(0)
+    rendered_page = pdf.render(0, QSize(1400, 1980))
+    visible_ink = sum(
+        1
+        for y in range(0, rendered_page.height(), 4)
+        for x in range(0, rendered_page.width(), 4)
+        if (color := rendered_page.pixelColor(x, y)).alpha() > 0 and color.lightness() < 245
+    )
+    viewer.close()
+    application.processEvents()
+
+    assert case_render_calls == ["case"]
+    assert page_size.width() == pytest.approx(842.0, abs=2.0)
+    assert page_size.height() == pytest.approx(1191.0, abs=2.0)
+    assert visible_ink > 1_000
+
+
 def test_demo_repository_pages_render_offscreen(
     application: QApplication,
     immediate_async: None,
diff --git a/app/处方-何福萍-8279.pdf b/app/处方-何福萍-8279.pdf
new file mode 100644
index 000000000..9bc7d8c06
Binary files /dev/null and b/app/处方-何福萍-8279.pdf differ
diff --git a/app/处方-张卫君-7556.pdf b/app/处方-张卫君-7556.pdf
deleted file mode 100644
index 6e8d33628..000000000
Binary files a/app/处方-张卫君-7556.pdf and /dev/null differ
diff --git a/server/app/adminapi/logic/stats/ConversionLogic.php b/server/app/adminapi/logic/stats/ConversionLogic.php
index 1ad7596c9..a597053f9 100755
--- a/server/app/adminapi/logic/stats/ConversionLogic.php
+++ b/server/app/adminapi/logic/stats/ConversionLogic.php
@@ -966,6 +966,7 @@ class ConversionLogic
      * - 加粉之后、统计结束前须有 msg_audit_approved（排除未完成链路的幽灵事件）；
      * - 加粉之后、统计结束前若出现 del_external_contact（客户从企微侧删除）则不计。
      *   不扣减 del_follow_user：企微客户列表中改名带「删」的客户往往仍在列表中；
+     * - 剔除非投放加粉：跟进人 add_way∈{1 扫一扫, 2 搜索手机号, 3 名片分享}；
      * - 剔除继承客户：跟进人 add_way∈{201 内部成员共享, 202 管理员/负责人分配}（含在职/离职继承）。
      *
      * @param array<string, mixed>|null $mediaChannel
@@ -989,7 +990,7 @@ class ConversionLogic
             }
         }
 
-        $baseKey = self::requestRowsCacheKey('fans-effective-v4', [
+        $baseKey = self::requestRowsCacheKey('fans-effective-v6', [
             $startTimestamp,
             $endTimestamp,
             self::mediaChannelCacheKey($mediaChannel),
@@ -1070,7 +1071,7 @@ class ConversionLogic
         }
 
         $pairs = $query->select()->toArray();
-        $pairs = self::excludeInheritedFanPairs($pairs);
+        $pairs = self::excludeUncountedFanPairs($pairs);
 
         $countsByUser = [];
         foreach ($pairs as $pair) {
@@ -1095,13 +1096,17 @@ class ConversionLogic
     }
 
     /**
-     * 剔除企微「继承/分配」客户：跟进人 add_way 为 201（内部成员共享）或 202（管理员/负责人分配，含在职/离职继承）。
+     * 剔除不应计入加粉的跟进来源：
+     * - add_way=1 扫一扫（客户通过扫一扫添加）；
+     * - add_way=2 搜索手机号（成员通过搜索手机号添加）；
+     * - add_way=3 名片分享（客户通过名片分享添加）；
+     * - add_way=201/202 继承/分配（内部成员共享、管理员/负责人分配，含在职/离职继承）。
      * 无本地客户档案或跟进信息不含该员工时保守保留（无法判定则仍计加粉）。
      *
      * @param array<int, array<string, mixed>> $pairs
      * @return array<int, array<string, mixed>>
      */
-    private static function excludeInheritedFanPairs(array $pairs): array
+    private static function excludeUncountedFanPairs(array $pairs): array
     {
         if ($pairs === []) {
             return [];
@@ -1119,8 +1124,8 @@ class ConversionLogic
             return $pairs;
         }
 
-        /** @var array<string, true> $inheritedKeys user_id\0external_userid */
-        $inheritedKeys = [];
+        /** @var array<string, true> $excludedKeys user_id\0external_userid */
+        $excludedKeys = [];
         foreach (array_chunk($externalIdList, 500) as $chunk) {
             $contactRows = Db::name('qywx_external_contact')
                 ->whereIn('external_userid', $chunk)
@@ -1145,19 +1150,19 @@ class ConversionLogic
                         continue;
                     }
                     $addWay = (int) ($fu['add_way'] ?? $fu['AddWay'] ?? 0);
-                    if ($addWay !== 201 && $addWay !== 202) {
+                    if (!in_array($addWay, [1, 2, 3, 201, 202], true)) {
                         continue;
                     }
                     $followUserId = trim((string) ($fu['userid'] ?? $fu['UserId'] ?? ''));
                     if ($followUserId === '') {
                         continue;
                     }
-                    $inheritedKeys[$followUserId . "\0" . $extId] = true;
+                    $excludedKeys[$followUserId . "\0" . $extId] = true;
                 }
             }
         }
 
-        if ($inheritedKeys === []) {
+        if ($excludedKeys === []) {
             return $pairs;
         }
 
@@ -1168,7 +1173,7 @@ class ConversionLogic
             if ($userId === '' || $extId === '') {
                 continue;
             }
-            if (isset($inheritedKeys[$userId . "\0" . $extId])) {
+            if (isset($excludedKeys[$userId . "\0" . $extId])) {
                 continue;
             }
             $kept[] = $pair;