diff --git a/Laravel/app/Http/Controllers/API/Third/CSharpController.php b/Laravel/app/Http/Controllers/API/Third/CSharpController.php
index ace8ebc..1404fc8 100644
--- a/Laravel/app/Http/Controllers/API/Third/CSharpController.php
+++ b/Laravel/app/Http/Controllers/API/Third/CSharpController.php
@@ -60,6 +60,12 @@ public function SaveApply($orderNo)
                 2 => 'E', // E - 急诊
                 3 => 'H', // H - 体检
             ];
+            $jiuzhenliushuihao = [
+                0 => $hisInfo['cardNo'] ?? '', // I - 住院
+                1 => $entrust->episodeid, // O - 门诊
+                2 => $hisInfo['cardNo'] ?? '', // E - 急诊
+                3 => $hisInfo['cardNo'] ?? '', // H - 体检
+            ];
             $guid = Str::uuid()->toString();
             $sex = 'U';
             if ($entrust->user_sex == 1) $sex = 'M';
@@ -91,7 +97,7 @@ public function SaveApply($orderNo)
                             'visitinfo' => [
                                 'visitsqno' => $entrust->episodeid,
                                 'inpatientno'=>substr($entrust->episodeid, -10),  // 取 visitsqno 后10位
-                                'outpatientno'=>$hisInfo['cardNo']??'',
+                                'outpatientno' => $jiuzhenliushuihao[$entrust->patient_type],
                                 'caseno'=>$hisInfo['markNo']??'',
                                 'source' => $patientTypeMap[$entrust->patient_type],
                                 'hospitalization_count' => '',