diff --git a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java
index 7044588..2135a3e 100644
--- a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java
+++ b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java
@@ -181,9 +181,12 @@ public class InspectPatientController {
             List<InspectPatientitemsSaveReqVO> dataList2 = new ArrayList<>();
             while (rowIterator.hasNext()) {
                 org.apache.poi.ss.usermodel.Row row = rowIterator.next();
-                long timestamp = System.currentTimeMillis();
-                long uniqueNumber = counter.incrementAndGet();
-                String MedicalSn = Long.toString(timestamp) + String.format("%04d", uniqueNumber % 10000);
+                // 获取当前日期并格式化为 yyyyMMdd 格式
+                LocalDate currentDate = LocalDate.now();
+                String datePart = currentDate.format(DateTimeFormatter.ofPattern("yyyyMMdd"));
+                // 生成一个6位的序列号
+                int sequenceNumber = counter.incrementAndGet() % 1000000; // 确保序列号是6位数
+                String MedicalSn = datePart+String.format("%06d", sequenceNumber);
                 //患者信息
                 InspectPatientSaveReqVO rowData = new InspectPatientSaveReqVO();