diff --git a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
index 40bfaaca..d1d3fbb4 100644
--- a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
+++ b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
@@ -46,6 +46,7 @@ using System.Security;
 using System.Security.Cryptography;
 using System.Text;
 using System.Threading.Tasks;
+using System.Transactions;
 using Volo.Abp;
 using Volo.Abp.Application.Dtos;
 using Volo.Abp.Application.Services;
@@ -882,9 +883,17 @@ namespace Shentun.Peis.PatientRegisters
                               patientRegister,
                               patient,
                               patientRegisterExterHaveEmpty,
-                              registerCheckAsbitem,
-                              chargePayHaveEmpty,
-                              payModePayHaveEmpty
+                              registerCheckAsbitem = new
+                              {
+                                  registerCheckAsbitem.StandardPrice,
+                                  registerCheckAsbitem.Amount,
+                                  registerCheckAsbitem.ChargePrice,
+                                  registerCheckAsbitem.IsCharge,
+                              },
+                              payModePayHaveEmpty = new
+                              {
+                                  payModePayHaveEmpty.DisplayName
+                              }
                           };
 
 
@@ -964,11 +973,17 @@ namespace Shentun.Peis.PatientRegisters
 
             #endregion
 
+            //var ggg = entlist.ToList();
+            //var fff = entlist.ToQueryString();
+
             var queryGroup = entlist.ToList().GroupBy(g => g.patientRegister);
 
+            //gpt var queryGroup = entlist.GroupBy(g => g.patientRegister);
+
+
             int totalCount = queryGroup.Count();
 
-            //gpt 按patientRegister分组，然后实现分页
+
             var pagedGroups = queryGroup
                 .OrderByDescending(g => g.Key.CompleteFlag)
                 .ThenBy(g => g.Key.Id)
@@ -976,6 +991,8 @@ namespace Shentun.Peis.PatientRegisters
                 .Take(input.MaxResultCount)
                 .ToList();
 
+
+
             List<GetPatientRegisterWithChargeDto> entListDto = new List<GetPatientRegisterWithChargeDto>();
 
             foreach (var group in pagedGroups)
@@ -1066,9 +1083,10 @@ namespace Shentun.Peis.PatientRegisters
                 };
                 entDto.StandardAmount = group.GroupBy(g => g.registerCheckAsbitem).Sum(s => s.Key.StandardPrice * s.Key.Amount);
                 entDto.ReceivableAmount = group.GroupBy(g => g.registerCheckAsbitem).Sum(s => s.Key.ChargePrice * s.Key.Amount);
-                if (group.Count(m => m.chargePayHaveEmpty != null) > 0)
+                entDto.ChargeAmount = group.Where(m => m.registerCheckAsbitem.IsCharge == 'Y').GroupBy(g => g.registerCheckAsbitem).Sum(s => s.Key.ChargePrice * s.Key.Amount);
+                if (group.Count(m => m.payModePayHaveEmpty != null) > 0)
                 {
-                    entDto.ChargeAmount = group.Where(m => m.chargePayHaveEmpty != null).GroupBy(g => g.chargePayHaveEmpty).Sum(s => s.Key.ChargeMoney);
+
                     entDto.ChargePayMode = string.Join(",", group.Where(m => m.payModePayHaveEmpty != null).GroupBy(g => g.payModePayHaveEmpty).Select(s => s.Key.DisplayName));
                 }
                 else
@@ -1088,6 +1106,9 @@ namespace Shentun.Peis.PatientRegisters
         }
 
 
+
+
+
         /// <summary>
         /// 获取档案登记信息   根据档案号或者条码号（档案号条件返回最新的一条）
         /// </summary>
diff --git a/src/Shentun.Peis.Application/PrintReports/PrintReportAppService.cs b/src/Shentun.Peis.Application/PrintReports/PrintReportAppService.cs
index 54c5d0e4..ddd16e90 100644
--- a/src/Shentun.Peis.Application/PrintReports/PrintReportAppService.cs
+++ b/src/Shentun.Peis.Application/PrintReports/PrintReportAppService.cs
@@ -1583,14 +1583,17 @@ namespace Shentun.Peis.PrintReports
 
             string cloudFilmCodeUrl = GenerateCloudFilmQRCode(patientRegister);
 
+            Guid? summaryDoctorId = patientRegister.SummaryDoctorId;
+            Guid? auditDoctorId = patientRegister.AuditDoctorId;
+
             #region 默认总检医生、审核医生
             if (!string.IsNullOrWhiteSpace(reportDefaultSummaryDoctorId) && Guid.TryParse(reportDefaultSummaryDoctorId, out var reportDefaultSummaryDoctorIdGuid))
             {
-                patientRegister.SummaryDoctorId = reportDefaultSummaryDoctorIdGuid;
+                summaryDoctorId = reportDefaultSummaryDoctorIdGuid;
             }
             if (!string.IsNullOrWhiteSpace(reportDefaultAuditDoctorId) && Guid.TryParse(reportDefaultAuditDoctorId, out var reportDefaultAuditDoctorIdGuid))
             {
-                patientRegister.AuditDoctorId = reportDefaultAuditDoctorIdGuid;
+                auditDoctorId = reportDefaultAuditDoctorIdGuid;
             }
             #endregion
 
@@ -1617,11 +1620,11 @@ namespace Shentun.Peis.PrintReports
                 MedicalTypeName = _cacheService.GetMedicalTypeNameAsync(patientRegister.MedicalTypeId).GetAwaiter().GetResult(),
                 PersonnelTypeName = _cacheService.GetPersonnelTypeNameAsync(patientRegister.PersonnelTypeId).GetAwaiter().GetResult(),
                 MedicalStartDate = patientRegister.MedicalStartDate,
-                SummaryDoctorName = _cacheService.GetSurnameAsync(patientRegister.SummaryDoctorId).GetAwaiter().GetResult(),
-                SummaryDoctorSignUrl = _cacheService.GetUserSignAsync(patientRegister.SummaryDoctorId).GetAwaiter().GetResult(),
+                SummaryDoctorName = _cacheService.GetSurnameAsync(summaryDoctorId).GetAwaiter().GetResult(),
+                SummaryDoctorSignUrl = _cacheService.GetUserSignAsync(summaryDoctorId).GetAwaiter().GetResult(),
                 SummaryDate = patientRegister.SummaryDate,
-                AuditDoctorName = _cacheService.GetSurnameAsync(patientRegister.AuditDoctorId).GetAwaiter().GetResult(),
-                AuditDoctorSignUrl = _cacheService.GetUserSignAsync(patientRegister.AuditDoctorId).GetAwaiter().GetResult(),
+                AuditDoctorName = _cacheService.GetSurnameAsync(auditDoctorId).GetAwaiter().GetResult(),
+                AuditDoctorSignUrl = _cacheService.GetUserSignAsync(auditDoctorId).GetAwaiter().GetResult(),
                 AuditDate = patientRegister.AuditDate,
                 //体检中心信息
                 MedicalCenterTelphone = medicalCenterTelphone,