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 22d17f3..632ffff 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
@@ -439,7 +439,19 @@ public class InspectPatientController {
             } else {
                 // 如果未打印，生成新的条码
                 checkBarCode1 = DateUtils.generateUniqueCode();
+                try {
+                    // 等待2毫秒，确保时间戳不同
+                    Thread.sleep(2);
+                } catch (InterruptedException e) {
+                    // 忽略中断异常
+                }
                 checkBarCode2 = DateUtils.generateUniqueCode();
+                try {
+                    // 等待2毫秒，确保时间戳不同
+                    Thread.sleep(2);
+                } catch (InterruptedException e) {
+                    // 忽略中断异常
+                }
                 checkBarCode3 = DateUtils.generateUniqueCode();
             }
 
@@ -1386,28 +1398,18 @@ public class InspectPatientController {
             String reportDate = "";
             String medicalSn = patientDO.getMedicalSn();
             
-            if (medicalSn != null && medicalSn.length() >= 8) {
-                // 提取前8位作为日期
-                reportDate = medicalSn.substring(0, 8);
-                // 转换为yyyy-MM-dd格式
-                if (reportDate.length() == 8) {
-                    reportDate = reportDate.substring(0, 4) + "-" + reportDate.substring(4, 6) + "-" + reportDate.substring(6, 8);
-                }
+            // 使用medicalDateTime字段获取日期
+            LocalDateTime medicalDateTime = patientDO.getMedicalDateTime();
+            if (medicalDateTime != null) {
+                reportDate = medicalDateTime.format(DateTimeFormatter.ofPattern("yyyy-MM-dd"));
             } else {
-                // 尝试从URL中提取体检编号
-                int lastSlashIndex = pdfUrl.lastIndexOf('/');
-                if (lastSlashIndex != -1) {
-                    String fileName = pdfUrl.substring(lastSlashIndex + 1);
-                    int dashIndex = fileName.indexOf('-');
-                    if (dashIndex != -1) {
-                        String examNo = fileName.substring(0, dashIndex);
-                        if (examNo.length() >= 8) {
-                            reportDate = examNo.substring(0, 8);
-                            // 转换为yyyy-MM-dd格式
-                            if (reportDate.length() == 8) {
-                                reportDate = reportDate.substring(0, 4) + "-" + reportDate.substring(4, 6) + "-" + reportDate.substring(6, 8);
-                            }
-                        }
+                // 如果medicalDateTime为空，则使用medicalSn中的日期作为备选
+                if (medicalSn != null && medicalSn.length() >= 8) {
+                    // 提取前8位作为日期
+                    reportDate = medicalSn.substring(0, 8);
+                    // 转换为yyyy-MM-dd格式
+                    if (reportDate.length() == 8) {
+                        reportDate = reportDate.substring(0, 4) + "-" + reportDate.substring(4, 6) + "-" + reportDate.substring(6, 8);
                     }
                 }
             }