diff --git a/apps/miniprogram/src/app.config.ts b/apps/miniprogram/src/app.config.ts
index c0449c7..1006d8f 100644
--- a/apps/miniprogram/src/app.config.ts
+++ b/apps/miniprogram/src/app.config.ts
@@ -30,6 +30,14 @@ export default defineAppConfig({
     'pages/legal/user-agreement',
     'pages/legal/privacy-policy',
     'pages/doctor/index',
+    'pages/doctor/patients/index',
+    'pages/doctor/patients/detail/index',
+    'pages/doctor/consultation/index',
+    'pages/doctor/consultation/detail/index',
+    'pages/doctor/followup/index',
+    'pages/doctor/followup/detail/index',
+    'pages/doctor/report/index',
+    'pages/doctor/report/detail/index',
   ],
   tabBar: {
     color: '#94A3B8',
diff --git a/apps/miniprogram/src/pages/doctor/consultation/detail/index.scss b/apps/miniprogram/src/pages/doctor/consultation/detail/index.scss
new file mode 100644
index 0000000..c9fba40
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/consultation/detail/index.scss
@@ -0,0 +1,140 @@
+.chat-page {
+  display: flex;
+  flex-direction: column;
+  height: 100vh;
+  background: #f0f4f8;
+}
+
+.chat-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  padding: 24px 32px;
+  background: #fff;
+  border-bottom: 1px solid #e2e8f0;
+
+  &__title {
+    font-size: 30px;
+    font-weight: 600;
+    color: #0f172a;
+  }
+
+  &__close {
+    font-size: 26px;
+    color: #ef4444;
+    padding: 8px 16px;
+  }
+}
+
+.chat-messages {
+  flex: 1;
+  padding: 24px;
+  overflow-y: auto;
+}
+
+.msg-row {
+  display: flex;
+  margin-bottom: 20px;
+
+  &--self {
+    justify-content: flex-end;
+  }
+}
+
+.msg-bubble {
+  max-width: 70%;
+  padding: 20px 24px;
+  border-radius: 16px;
+  position: relative;
+
+  &--other {
+    background: #fff;
+    border-top-left-radius: 4px;
+  }
+
+  &--self {
+    background: #0891b2;
+    border-top-right-radius: 4px;
+  }
+}
+
+.msg-text {
+  font-size: 28px;
+  color: #0f172a;
+  display: block;
+  line-height: 1.6;
+  word-break: break-all;
+
+  .msg-bubble--self & {
+    color: #fff;
+  }
+}
+
+.msg-time {
+  font-size: 20px;
+  color: #94a3b8;
+  display: block;
+  margin-top: 8px;
+  text-align: right;
+
+  .msg-bubble--self & {
+    color: rgba(255, 255, 255, 0.7);
+  }
+}
+
+.chat-empty {
+  text-align: center;
+  padding: 120px 32px;
+
+  &__text {
+    font-size: 26px;
+    color: #94a3b8;
+  }
+}
+
+.chat-input-bar {
+  display: flex;
+  align-items: center;
+  padding: 16px 24px;
+  background: #fff;
+  border-top: 1px solid #e2e8f0;
+  padding-bottom: calc(16px + env(safe-area-inset-bottom));
+}
+
+.chat-input {
+  flex: 1;
+  background: #f1f5f9;
+  border-radius: 12px;
+  padding: 16px 20px;
+  font-size: 28px;
+  margin-right: 16px;
+}
+
+.chat-send-btn {
+  background: #0891b2;
+  border-radius: 12px;
+  padding: 16px 28px;
+  flex-shrink: 0;
+
+  &--disabled {
+    opacity: 0.5;
+  }
+
+  &__text {
+    font-size: 28px;
+    color: #fff;
+    font-weight: 500;
+  }
+}
+
+.chat-closed-bar {
+  padding: 24px;
+  text-align: center;
+  background: #fff;
+  border-top: 1px solid #e2e8f0;
+
+  &__text {
+    font-size: 26px;
+    color: #94a3b8;
+  }
+}
diff --git a/apps/miniprogram/src/pages/doctor/consultation/detail/index.tsx b/apps/miniprogram/src/pages/doctor/consultation/detail/index.tsx
new file mode 100644
index 0000000..fe45e59
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/consultation/detail/index.tsx
@@ -0,0 +1,153 @@
+import { useState, useEffect, useRef } from 'react';
+import { View, Text, Input, ScrollView } from '@tarojs/components';
+import Taro, { useRouter } from '@tarojs/taro';
+import * as doctorApi from '@/services/doctor';
+import Loading from '@/components/Loading';
+import './index.scss';
+
+export default function ConsultationDetail() {
+  const router = useRouter();
+  const sessionId = router.params.id || '';
+  const [session, setSession] = useState<doctorApi.ConsultationSession | null>(null);
+  const [messages, setMessages] = useState<doctorApi.ConsultationMessage[]>([]);
+  const [inputText, setInputText] = useState('');
+  const [sending, setSending] = useState(false);
+  const [loading, setLoading] = useState(true);
+  const scrollViewRef = useRef('');
+
+  useEffect(() => {
+    if (sessionId) {
+      loadData();
+      markRead();
+    }
+  }, [sessionId]);
+
+  const loadData = async () => {
+    setLoading(true);
+    try {
+      const [s, m] = await Promise.all([
+        doctorApi.getSession(sessionId),
+        doctorApi.listMessages(sessionId, { page: 1, page_size: 50 }),
+      ]);
+      setSession(s);
+      setMessages(m.data || []);
+      scrollViewRef.current = `msg-${(m.data || []).length}`;
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const markRead = async () => {
+    try {
+      await doctorApi.markSessionRead(sessionId);
+    } catch { /* ignore */ }
+  };
+
+  const handleSend = async () => {
+    const text = inputText.trim();
+    if (!text || sending) return;
+    setSending(true);
+    setInputText('');
+    try {
+      const msg = await doctorApi.sendMessage(sessionId, text);
+      setMessages((prev) => [...prev, msg]);
+      scrollViewRef.current = `msg-${messages.length + 1}`;
+    } catch {
+      Taro.showToast({ title: '发送失败', icon: 'none' });
+      setInputText(text);
+    } finally {
+      setSending(false);
+    }
+  };
+
+  const handleClose = () => {
+    Taro.showModal({
+      title: '确认关闭',
+      content: '关闭后将无法继续对话，确认关闭？',
+      success: async (res) => {
+        if (res.confirm) {
+          try {
+            await doctorApi.closeSession(sessionId);
+            Taro.showToast({ title: '已关闭', icon: 'success' });
+            loadData();
+          } catch {
+            Taro.showToast({ title: '操作失败', icon: 'none' });
+          }
+        }
+      },
+    });
+  };
+
+  const formatTime = (dateStr: string) => {
+    const d = new Date(dateStr);
+    return d.toLocaleTimeString('zh-CN', { hour: '2-digit', minute: '2-digit' });
+  };
+
+  if (loading) return <Loading />;
+
+  const isOpen = session?.status !== 'closed';
+
+  return (
+    <View className='chat-page'>
+      {/* Header */}
+      <View className='chat-header'>
+        <Text className='chat-header__title'>{session?.subject || '在线咨询'}</Text>
+        {isOpen && (
+          <Text className='chat-header__close' onClick={handleClose}>关闭会话</Text>
+        )}
+      </View>
+
+      {/* Messages */}
+      <ScrollView
+        scrollY
+        className='chat-messages'
+        scrollIntoView={scrollViewRef.current}
+        scrollWithAnimation
+      >
+        {messages.map((msg, idx) => {
+          const isDoctor = msg.sender_role === 'doctor';
+          return (
+            <View key={msg.id} id={`msg-${idx + 1}`} className={`msg-row ${isDoctor ? 'msg-row--self' : ''}`}>
+              <View className={`msg-bubble ${isDoctor ? 'msg-bubble--self' : 'msg-bubble--other'}`}>
+                <Text className='msg-text'>{msg.content}</Text>
+                <Text className='msg-time'>{formatTime(msg.created_at)}</Text>
+              </View>
+            </View>
+          );
+        })}
+        {messages.length === 0 && (
+          <View className='chat-empty'>
+            <Text className='chat-empty__text'>暂无消息，发送第一条消息开始对话</Text>
+          </View>
+        )}
+      </ScrollView>
+
+      {/* Input */}
+      {isOpen ? (
+        <View className='chat-input-bar'>
+          <Input
+            className='chat-input'
+            placeholder='输入消息...'
+            value={inputText}
+            onInput={(e) => setInputText(e.detail.value)}
+            confirmType='send'
+            onConfirm={handleSend}
+            disabled={sending}
+          />
+          <View
+            className={`chat-send-btn ${(!inputText.trim() || sending) ? 'chat-send-btn--disabled' : ''}`}
+            onClick={handleSend}
+          >
+            <Text className='chat-send-btn__text'>{sending ? '...' : '发送'}</Text>
+          </View>
+        </View>
+      ) : (
+        <View className='chat-closed-bar'>
+          <Text className='chat-closed-bar__text'>会话已关闭</Text>
+        </View>
+      )}
+    </View>
+  );
+}
diff --git a/apps/miniprogram/src/pages/doctor/consultation/index.scss b/apps/miniprogram/src/pages/doctor/consultation/index.scss
new file mode 100644
index 0000000..d8f0af8
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/consultation/index.scss
@@ -0,0 +1,156 @@
+.consultation-page {
+  min-height: 100vh;
+  background: #f0f4f8;
+}
+
+.tabs {
+  display: flex;
+  background: #fff;
+  padding: 0 16px;
+  border-bottom: 1px solid #e2e8f0;
+}
+
+.tab {
+  flex: 1;
+  text-align: center;
+  padding: 24px 0;
+  font-size: 28px;
+  color: #64748b;
+  position: relative;
+
+  &--active {
+    color: #0891b2;
+    font-weight: 600;
+
+    &::after {
+      content: '';
+      position: absolute;
+      bottom: 0;
+      left: 30%;
+      right: 30%;
+      height: 4px;
+      background: #0891b2;
+      border-radius: 2px;
+    }
+  }
+}
+
+.session-list {
+  padding: 20px 24px;
+  display: flex;
+  flex-direction: column;
+  gap: 16px;
+}
+
+.session-card {
+  background: #fff;
+  border-radius: 16px;
+  padding: 28px;
+  box-shadow: 0 1px 4px rgba(0, 0, 0, 0.05);
+  position: relative;
+
+  &:active {
+    background: #f8fafc;
+  }
+
+  &__top {
+    display: flex;
+    justify-content: space-between;
+    align-items: center;
+    margin-bottom: 12px;
+  }
+
+  &__subject {
+    font-size: 28px;
+    font-weight: 600;
+    color: #0f172a;
+    flex: 1;
+    overflow: hidden;
+    text-overflow: ellipsis;
+    white-space: nowrap;
+    margin-right: 16px;
+  }
+
+  &__status {
+    padding: 4px 14px;
+    border-radius: 12px;
+    flex-shrink: 0;
+  }
+
+  &__status-text {
+    font-size: 22px;
+    font-weight: 500;
+  }
+
+  &__info {
+    display: flex;
+    align-items: center;
+    gap: 16px;
+    margin-bottom: 8px;
+  }
+
+  &__type {
+    font-size: 24px;
+    color: #0891b2;
+    background: #e0f2fe;
+    padding: 2px 12px;
+    border-radius: 8px;
+  }
+
+  &__time {
+    font-size: 24px;
+    color: #94a3b8;
+  }
+
+  &__preview {
+    font-size: 26px;
+    color: #64748b;
+    overflow: hidden;
+    text-overflow: ellipsis;
+    white-space: nowrap;
+    display: block;
+  }
+
+  &__badge {
+    position: absolute;
+    top: 20px;
+    right: 20px;
+    min-width: 36px;
+    height: 36px;
+    background: #ef4444;
+    border-radius: 18px;
+    display: flex;
+    align-items: center;
+    justify-content: center;
+    padding: 0 8px;
+  }
+
+  &__badge-text {
+    font-size: 22px;
+    color: #fff;
+    font-weight: 600;
+  }
+}
+
+.pagination {
+  display: flex;
+  justify-content: center;
+  align-items: center;
+  gap: 24px;
+  padding: 24px;
+
+  &__btn {
+    font-size: 26px;
+    color: #0891b2;
+    padding: 12px 24px;
+
+    &.disabled {
+      color: #cbd5e1;
+    }
+  }
+
+  &__info {
+    font-size: 24px;
+    color: #64748b;
+  }
+}
diff --git a/apps/miniprogram/src/pages/doctor/consultation/index.tsx b/apps/miniprogram/src/pages/doctor/consultation/index.tsx
new file mode 100644
index 0000000..4f70c9b
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/consultation/index.tsx
@@ -0,0 +1,134 @@
+import { useState, useEffect } from 'react';
+import { View, Text, ScrollView } from '@tarojs/components';
+import Taro from '@tarojs/taro';
+import * as doctorApi from '@/services/doctor';
+import Loading from '@/components/Loading';
+import EmptyState from '@/components/EmptyState';
+import './index.scss';
+
+const STATUS_MAP: Record<string, { label: string; color: string }> = {
+  waiting: { label: '等待中', color: '#f59e0b' },
+  active: { label: '进行中', color: '#10b981' },
+  closed: { label: '已关闭', color: '#94a3b8' },
+};
+
+const TABS = [
+  { key: '', label: '全部' },
+  { key: 'active', label: '进行中' },
+  { key: 'waiting', label: '等待中' },
+  { key: 'closed', label: '已关闭' },
+];
+
+export default function ConsultationList() {
+  const [sessions, setSessions] = useState<doctorApi.ConsultationSession[]>([]);
+  const [activeTab, setActiveTab] = useState('');
+  const [loading, setLoading] = useState(true);
+  const [total, setTotal] = useState(0);
+  const [page, setPage] = useState(1);
+
+  useEffect(() => {
+    loadSessions();
+  }, [page, activeTab]);
+
+  const loadSessions = async () => {
+    setLoading(true);
+    try {
+      const res = await doctorApi.listSessions({
+        page,
+        page_size: 20,
+        status: activeTab || undefined,
+      });
+      setSessions(res.data || []);
+      setTotal(res.total || 0);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const handleTabChange = (key: string) => {
+    setActiveTab(key);
+    setPage(1);
+  };
+
+  const formatTime = (dateStr?: string | null) => {
+    if (!dateStr) return '';
+    const d = new Date(dateStr);
+    const now = new Date();
+    if (d.toDateString() === now.toDateString()) {
+      return d.toLocaleTimeString('zh-CN', { hour: '2-digit', minute: '2-digit' });
+    }
+    return d.toLocaleDateString('zh-CN', { month: 'numeric', day: 'numeric' });
+  };
+
+  if (loading && sessions.length === 0) return <Loading />;
+
+  return (
+    <ScrollView scrollY className='consultation-page'>
+      <View className='tabs'>
+        {TABS.map((t) => (
+          <View
+            key={t.key}
+            className={`tab ${activeTab === t.key ? 'tab--active' : ''}`}
+            onClick={() => handleTabChange(t.key)}
+          >
+            <Text>{t.label}</Text>
+          </View>
+        ))}
+      </View>
+
+      {sessions.length === 0 ? (
+        <EmptyState text='暂无咨询会话' />
+      ) : (
+        <View className='session-list'>
+          {sessions.map((s) => {
+            const st = STATUS_MAP[s.status] || { label: s.status, color: '#94a3b8' };
+            return (
+              <View
+                key={s.id}
+                className='session-card'
+                onClick={() => Taro.navigateTo({ url: `/pages/doctor/consultation/detail/index?id=${s.id}` })}
+              >
+                <View className='session-card__top'>
+                  <Text className='session-card__subject'>{s.subject || '在线咨询'}</Text>
+                  <View className='session-card__status' style={`background: ${st.color}20; color: ${st.color}`}>
+                    <Text className='session-card__status-text'>{st.label}</Text>
+                  </View>
+                </View>
+                <View className='session-card__info'>
+                  <Text className='session-card__type'>
+                    {s.consultation_type === 'text' ? '图文' : s.consultation_type === 'video' ? '视频' : '咨询'}
+                  </Text>
+                  <Text className='session-card__time'>{formatTime(s.last_message_at)}</Text>
+                </View>
+                {s.last_message && (
+                  <Text className='session-card__preview'>{s.last_message}</Text>
+                )}
+                {(s.unread_count_doctor ?? 0) > 0 && (
+                  <View className='session-card__badge'>
+                    <Text className='session-card__badge-text'>{s.unread_count_doctor}</Text>
+                  </View>
+                )}
+              </View>
+            );
+          })}
+        </View>
+      )}
+
+      {total > 20 && (
+        <View className='pagination'>
+          <Text
+            className={`pagination__btn ${page <= 1 ? 'disabled' : ''}`}
+            onClick={() => page > 1 && setPage(page - 1)}
+          >上一页</Text>
+          <Text className='pagination__info'>{page} / {Math.ceil(total / 20)}</Text>
+          <Text
+            className={`pagination__btn ${page >= Math.ceil(total / 20) ? 'disabled' : ''}`}
+            onClick={() => page < Math.ceil(total / 20) && setPage(page + 1)}
+          >下一页</Text>
+        </View>
+      )}
+    </ScrollView>
+  );
+}
diff --git a/apps/miniprogram/src/pages/doctor/followup/detail/index.scss b/apps/miniprogram/src/pages/doctor/followup/detail/index.scss
new file mode 100644
index 0000000..d890517
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/followup/detail/index.scss
@@ -0,0 +1,185 @@
+.followup-detail {
+  min-height: 100vh;
+  background: #f0f4f8;
+  padding: 24px;
+  padding-bottom: 120px;
+}
+
+.section {
+  background: #fff;
+  border-radius: 16px;
+  padding: 28px;
+  margin-bottom: 20px;
+  box-shadow: 0 1px 4px rgba(0, 0, 0, 0.05);
+}
+
+.section-title {
+  font-size: 28px;
+  font-weight: 600;
+  color: #0f172a;
+  display: block;
+  margin-bottom: 20px;
+}
+
+.task-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin-bottom: 20px;
+
+  &__title {
+    font-size: 30px;
+    font-weight: 700;
+    color: #0f172a;
+  }
+
+  &__status {
+    font-size: 24px;
+    padding: 6px 16px;
+    border-radius: 12px;
+    font-weight: 500;
+
+    &--pending { background: #fef3c7; color: #b45309; }
+    &--in_progress { background: #e0f2fe; color: #0369a1; }
+    &--completed { background: #dcfce7; color: #16a34a; }
+    &--overdue { background: #fee2e2; color: #dc2626; }
+    &--cancelled { background: #f1f5f9; color: #94a3b8; }
+  }
+}
+
+.info-grid {
+  display: grid;
+  grid-template-columns: 1fr 1fr 1fr;
+  gap: 16px;
+}
+
+.info-item {
+  display: flex;
+  flex-direction: column;
+  gap: 4px;
+}
+
+.info-label {
+  font-size: 22px;
+  color: #94a3b8;
+}
+
+.info-value {
+  font-size: 26px;
+  color: #0f172a;
+  font-weight: 500;
+}
+
+.task-template {
+  margin-top: 16px;
+  padding: 16px;
+  background: #f8fafc;
+  border-radius: 12px;
+
+  &__label {
+    font-size: 22px;
+    color: #64748b;
+    display: block;
+    margin-bottom: 8px;
+  }
+
+  &__text {
+    font-size: 26px;
+    color: #334155;
+    line-height: 1.6;
+  }
+}
+
+.record-item {
+  padding: 20px 0;
+  border-bottom: 1px solid #f1f5f9;
+
+  &:last-child {
+    border-bottom: none;
+  }
+
+  &__date {
+    font-size: 22px;
+    color: #94a3b8;
+    display: block;
+    margin-bottom: 8px;
+  }
+
+  &__text {
+    font-size: 26px;
+    color: #334155;
+    display: block;
+    margin-bottom: 4px;
+    line-height: 1.5;
+  }
+}
+
+.start-btn {
+  text-align: center;
+  padding: 16px;
+  background: #0891b2;
+  border-radius: 12px;
+  margin-bottom: 24px;
+  color: #fff;
+  font-size: 28px;
+  font-weight: 500;
+}
+
+.form-group {
+  margin-bottom: 24px;
+}
+
+.form-label {
+  font-size: 26px;
+  color: #475569;
+  font-weight: 500;
+  display: block;
+  margin-bottom: 12px;
+}
+
+.form-textarea {
+  width: 100%;
+  min-height: 160px;
+  background: #f8fafc;
+  border-radius: 12px;
+  padding: 16px 20px;
+  font-size: 26px;
+  color: #0f172a;
+  box-sizing: border-box;
+  line-height: 1.6;
+}
+
+.form-date {
+  width: 100%;
+  padding: 16px 20px;
+  background: #f8fafc;
+  border-radius: 12px;
+  font-size: 26px;
+  color: #0f172a;
+  box-sizing: border-box;
+}
+
+.submit-btn {
+  background: #0891b2;
+  border-radius: 12px;
+  padding: 20px;
+  text-align: center;
+  margin-top: 16px;
+
+  &--disabled {
+    opacity: 0.5;
+  }
+
+  &__text {
+    font-size: 28px;
+    color: #fff;
+    font-weight: 600;
+  }
+}
+
+.error-text {
+  text-align: center;
+  padding: 80px 32px;
+  color: #94a3b8;
+  font-size: 28px;
+}
diff --git a/apps/miniprogram/src/pages/doctor/followup/detail/index.tsx b/apps/miniprogram/src/pages/doctor/followup/detail/index.tsx
new file mode 100644
index 0000000..a2130cb
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/followup/detail/index.tsx
@@ -0,0 +1,195 @@
+import { useState, useEffect } from 'react';
+import { View, Text, Textarea, ScrollView } from '@tarojs/components';
+import Taro, { useRouter } from '@tarojs/taro';
+import * as doctorApi from '@/services/doctor';
+import Loading from '@/components/Loading';
+import './index.scss';
+
+const STATUS_LABELS: Record<string, string> = {
+  pending: '待处理',
+  in_progress: '进行中',
+  completed: '已完成',
+  overdue: '已逾期',
+  cancelled: '已取消',
+};
+
+export default function FollowUpDetail() {
+  const router = useRouter();
+  const taskId = router.params.id || '';
+  const [task, setTask] = useState<doctorApi.FollowUpTask | null>(null);
+  const [records, setRecords] = useState<doctorApi.FollowUpRecord[]>([]);
+  const [loading, setLoading] = useState(true);
+  const [submitting, setSubmitting] = useState(false);
+
+  // 表单
+  const [result, setResult] = useState('');
+  const [patientCondition, setPatientCondition] = useState('');
+  const [medicalAdvice, setMedicalAdvice] = useState('');
+  const [nextDate, setNextDate] = useState('');
+
+  useEffect(() => {
+    if (taskId) loadData();
+  }, [taskId]);
+
+  const loadData = async () => {
+    setLoading(true);
+    try {
+      const [t, r] = await Promise.all([
+        doctorApi.getFollowUpTask(taskId),
+        doctorApi.listFollowUpRecords({ task_id: taskId }),
+      ]);
+      setTask(t);
+      setRecords(r.data || []);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const handleSubmit = async () => {
+    if (!result.trim()) {
+      Taro.showToast({ title: '请填写随访结果', icon: 'none' });
+      return;
+    }
+    setSubmitting(true);
+    try {
+      await doctorApi.createFollowUpRecord(taskId, {
+        result: result.trim(),
+        patient_condition: patientCondition.trim() || undefined,
+        medical_advice: medicalAdvice.trim() || undefined,
+        next_follow_up_date: nextDate || undefined,
+      });
+      Taro.showToast({ title: '提交成功', icon: 'success' });
+      setResult('');
+      setPatientCondition('');
+      setMedicalAdvice('');
+      setNextDate('');
+      loadData();
+    } catch {
+      Taro.showToast({ title: '提交失败', icon: 'none' });
+    } finally {
+      setSubmitting(false);
+    }
+  };
+
+  const handleStartTask = async () => {
+    if (!task) return;
+    try {
+      await doctorApi.updateFollowUpTask(taskId, { status: 'in_progress' }, task.version);
+      Taro.showToast({ title: '已开始', icon: 'success' });
+      loadData();
+    } catch {
+      Taro.showToast({ title: '操作失败', icon: 'none' });
+    }
+  };
+
+  const formatDate = (d: string) => new Date(d).toLocaleDateString('zh-CN');
+
+  if (loading) return <Loading />;
+  if (!task) return <View className='error-text'><Text>任务加载失败</Text></View>;
+
+  const canSubmit = task.status === 'in_progress' || task.status === 'pending' || task.status === 'overdue';
+
+  return (
+    <ScrollView scrollY className='followup-detail'>
+      <View className='section'>
+        <View className='task-header'>
+          <Text className='task-header__title'>随访详情</Text>
+          <Text className={`task-header__status task-header__status--${task.status}`}>
+            {STATUS_LABELS[task.status] || task.status}
+          </Text>
+        </View>
+        <View className='info-grid'>
+          <View className='info-item'>
+            <Text className='info-label'>患者</Text>
+            <Text className='info-value'>{task.patient_name || '-'}</Text>
+          </View>
+          <View className='info-item'>
+            <Text className='info-label'>类型</Text>
+            <Text className='info-value'>{task.follow_up_type}</Text>
+          </View>
+          <View className='info-item'>
+            <Text className='info-label'>计划日期</Text>
+            <Text className='info-value'>{formatDate(task.planned_date)}</Text>
+          </View>
+        </View>
+        {task.content_template && (
+          <View className='task-template'>
+            <Text className='task-template__label'>随访模板</Text>
+            <Text className='task-template__text'>{task.content_template}</Text>
+          </View>
+        )}
+      </View>
+
+      {/* 历史记录 */}
+      {records.length > 0 && (
+        <View className='section'>
+          <Text className='section-title'>历史记录</Text>
+          {records.map((r) => (
+            <View key={r.id} className='record-item'>
+              <Text className='record-item__date'>{formatDate(r.executed_date)}</Text>
+              {r.result && <Text className='record-item__text'>结果: {r.result}</Text>}
+              {r.patient_condition && <Text className='record-item__text'>患者状况: {r.patient_condition}</Text>}
+              {r.medical_advice && <Text className='record-item__text'>医嘱: {r.medical_advice}</Text>}
+            </View>
+          ))}
+        </View>
+      )}
+
+      {/* 填写表单 */}
+      {canSubmit && (
+        <View className='section'>
+          <Text className='section-title'>记录随访</Text>
+          {(task.status === 'pending' || task.status === 'overdue') && (
+            <View className='start-btn' onClick={handleStartTask}>
+              <Text>开始随访</Text>
+            </View>
+          )}
+          <View className='form-group'>
+            <Text className='form-label'>随访结果 *</Text>
+            <Textarea
+              className='form-textarea'
+              placeholder='请输入随访结果'
+              value={result}
+              onInput={(e) => setResult(e.detail.value)}
+              maxlength={500}
+            />
+          </View>
+          <View className='form-group'>
+            <Text className='form-label'>患者状况</Text>
+            <Textarea
+              className='form-textarea'
+              placeholder='描述患者当前状况'
+              value={patientCondition}
+              onInput={(e) => setPatientCondition(e.detail.value)}
+              maxlength={500}
+            />
+          </View>
+          <View className='form-group'>
+            <Text className='form-label'>医嘱建议</Text>
+            <Textarea
+              className='form-textarea'
+              placeholder='输入医嘱和建议'
+              value={medicalAdvice}
+              onInput={(e) => setMedicalAdvice(e.detail.value)}
+              maxlength={500}
+            />
+          </View>
+          <View className='form-group'>
+            <Text className='form-label'>下次随访日期</Text>
+            <input
+              type='date'
+              className='form-date'
+              value={nextDate}
+              onChange={(e: any) => setNextDate(e.target.value)}
+            />
+          </View>
+          <View className={`submit-btn ${submitting ? 'submit-btn--disabled' : ''}`} onClick={handleSubmit}>
+            <Text className='submit-btn__text'>{submitting ? '提交中...' : '提交记录'}</Text>
+          </View>
+        </View>
+      )}
+    </ScrollView>
+  );
+}
diff --git a/apps/miniprogram/src/pages/doctor/followup/index.scss b/apps/miniprogram/src/pages/doctor/followup/index.scss
new file mode 100644
index 0000000..873ef7a
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/followup/index.scss
@@ -0,0 +1,102 @@
+.followup-page {
+  min-height: 100vh;
+  background: #f0f4f8;
+}
+
+.tabs {
+  display: flex;
+  background: #fff;
+  padding: 0 12px;
+  border-bottom: 1px solid #e2e8f0;
+  overflow-x: auto;
+  white-space: nowrap;
+}
+
+.tab {
+  display: inline-block;
+  padding: 24px 16px;
+  font-size: 26px;
+  color: #64748b;
+  position: relative;
+  flex-shrink: 0;
+
+  &--active {
+    color: #0891b2;
+    font-weight: 600;
+
+    &::after {
+      content: '';
+      position: absolute;
+      bottom: 0;
+      left: 20%;
+      right: 20%;
+      height: 4px;
+      background: #0891b2;
+      border-radius: 2px;
+    }
+  }
+}
+
+.task-count {
+  padding: 20px 28px;
+
+  text {
+    font-size: 24px;
+    color: #94a3b8;
+  }
+}
+
+.task-list {
+  padding: 0 24px 120px;
+  display: flex;
+  flex-direction: column;
+  gap: 16px;
+}
+
+.task-card {
+  background: #fff;
+  border-radius: 16px;
+  padding: 28px;
+  box-shadow: 0 1px 4px rgba(0, 0, 0, 0.05);
+
+  &:active {
+    background: #f8fafc;
+  }
+
+  &__header {
+    display: flex;
+    justify-content: space-between;
+    align-items: center;
+    margin-bottom: 12px;
+  }
+
+  &__type {
+    font-size: 28px;
+    font-weight: 600;
+    color: #0f172a;
+  }
+
+  &__status {
+    padding: 4px 14px;
+    border-radius: 12px;
+    font-size: 22px;
+    font-weight: 500;
+  }
+
+  &__patient {
+    font-size: 26px;
+    color: #475569;
+    display: block;
+    margin-bottom: 8px;
+  }
+
+  &__footer {
+    display: flex;
+    justify-content: space-between;
+  }
+
+  &__date {
+    font-size: 24px;
+    color: #94a3b8;
+  }
+}
diff --git a/apps/miniprogram/src/pages/doctor/followup/index.tsx b/apps/miniprogram/src/pages/doctor/followup/index.tsx
new file mode 100644
index 0000000..ef10110
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/followup/index.tsx
@@ -0,0 +1,118 @@
+import { useState, useEffect } from 'react';
+import { View, Text, ScrollView } from '@tarojs/components';
+import Taro, { useRouter } from '@tarojs/taro';
+import * as doctorApi from '@/services/doctor';
+import Loading from '@/components/Loading';
+import EmptyState from '@/components/EmptyState';
+import './index.scss';
+
+const STATUS_MAP: Record<string, { label: string; color: string }> = {
+  pending: { label: '待处理', color: '#f59e0b' },
+  in_progress: { label: '进行中', color: '#0891b2' },
+  completed: { label: '已完成', color: '#10b981' },
+  overdue: { label: '已逾期', color: '#ef4444' },
+  cancelled: { label: '已取消', color: '#94a3b8' },
+};
+
+const TABS = [
+  { key: '', label: '全部' },
+  { key: 'pending', label: '待处理' },
+  { key: 'in_progress', label: '进行中' },
+  { key: 'completed', label: '已完成' },
+  { key: 'overdue', label: '已逾期' },
+];
+
+export default function FollowUpList() {
+  const router = useRouter();
+  const patientId = router.params.patientId || '';
+  const [tasks, setTasks] = useState<doctorApi.FollowUpTask[]>([]);
+  const [activeTab, setActiveTab] = useState('');
+  const [loading, setLoading] = useState(true);
+  const [total, setTotal] = useState(0);
+
+  useEffect(() => {
+    loadTasks();
+  }, [activeTab, patientId]);
+
+  const loadTasks = async () => {
+    setLoading(true);
+    try {
+      const res = await doctorApi.listFollowUpTasks({
+        page: 1,
+        page_size: 50,
+        status: activeTab || undefined,
+        patient_id: patientId || undefined,
+      });
+      setTasks(res.data || []);
+      setTotal(res.total || 0);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const formatDate = (dateStr: string) => {
+    return new Date(dateStr).toLocaleDateString('zh-CN', { month: 'numeric', day: 'numeric' });
+  };
+
+  const getTypeLabel = (type: string) => {
+    const map: Record<string, string> = {
+      phone: '电话随访',
+      visit: '门诊随访',
+      online: '线上随访',
+      home: '家访',
+    };
+    return map[type] || type;
+  };
+
+  if (loading && tasks.length === 0) return <Loading />;
+
+  return (
+    <ScrollView scrollY className='followup-page'>
+      <View className='tabs'>
+        {TABS.map((t) => (
+          <View
+            key={t.key}
+            className={`tab ${activeTab === t.key ? 'tab--active' : ''}`}
+            onClick={() => setActiveTab(t.key)}
+          >
+            <Text>{t.label}</Text>
+          </View>
+        ))}
+      </View>
+
+      <View className='task-count'>
+        <Text>共 {total} 项任务</Text>
+      </View>
+
+      {tasks.length === 0 ? (
+        <EmptyState text='暂无随访任务' />
+      ) : (
+        <View className='task-list'>
+          {tasks.map((task) => {
+            const st = STATUS_MAP[task.status] || { label: task.status, color: '#94a3b8' };
+            return (
+              <View
+                key={task.id}
+                className='task-card'
+                onClick={() => Taro.navigateTo({ url: `/pages/doctor/followup/detail/index?id=${task.id}` })}
+              >
+                <View className='task-card__header'>
+                  <Text className='task-card__type'>{getTypeLabel(task.follow_up_type)}</Text>
+                  <View className='task-card__status' style={`background: ${st.color}20; color: ${st.color}`}>
+                    <Text>{st.label}</Text>
+                  </View>
+                </View>
+                <Text className='task-card__patient'>{task.patient_name || '未知患者'}</Text>
+                <View className='task-card__footer'>
+                  <Text className='task-card__date'>计划日期: {formatDate(task.planned_date)}</Text>
+                </View>
+              </View>
+            );
+          })}
+        </View>
+      )}
+    </ScrollView>
+  );
+}
diff --git a/apps/miniprogram/src/pages/doctor/index.scss b/apps/miniprogram/src/pages/doctor/index.scss
index 08674a3..a372477 100644
--- a/apps/miniprogram/src/pages/doctor/index.scss
+++ b/apps/miniprogram/src/pages/doctor/index.scss
@@ -2,6 +2,7 @@
   min-height: 100vh;
   background: #f0f4f8;
   padding: 32px;
+  padding-bottom: 120px;
 
   &__header {
     margin-bottom: 40px;
@@ -12,16 +13,23 @@
     font-weight: 700;
     color: #0f172a;
     display: block;
-    margin-bottom: 16px;
+    margin-bottom: 12px;
   }
 
   &__greeting {
     font-size: 28px;
     color: #64748b;
+    display: block;
+    margin-bottom: 8px;
+  }
+
+  &__date {
+    font-size: 24px;
+    color: #94a3b8;
   }
 
   &__section {
-    margin-bottom: 32px;
+    margin-bottom: 40px;
   }
 
   &__section-title {
@@ -35,21 +43,32 @@
   &__grid {
     display: grid;
     grid-template-columns: 1fr 1fr;
-    gap: 24px;
+    gap: 20px;
   }
 
   &__card {
     background: #fff;
     border-radius: 16px;
-    padding: 32px;
+    padding: 28px 24px;
     text-align: center;
     box-shadow: 0 2px 8px rgba(0, 0, 0, 0.06);
+    transition: transform 0.15s;
+
+    &:active {
+      transform: scale(0.97);
+    }
+  }
+
+  &__card-icon {
+    font-size: 36px;
+    display: block;
+    margin-bottom: 8px;
   }
 
   &__card-num {
     font-size: 48px;
     font-weight: 700;
-    color: #0891b2;
+    color: #0f172a;
     display: block;
     margin-bottom: 8px;
   }
@@ -59,13 +78,45 @@
     color: #64748b;
   }
 
+  &__quick-actions {
+    display: flex;
+    gap: 24px;
+  }
+
   &__footer {
-    margin-top: 80px;
+    margin-top: 60px;
     text-align: center;
+    padding-bottom: env(safe-area-inset-bottom);
   }
 
   &__logout {
     color: #ef4444;
     font-size: 28px;
+    padding: 16px 48px;
+    display: inline-block;
+  }
+}
+
+.quick-action {
+  flex: 1;
+  background: #fff;
+  border-radius: 16px;
+  padding: 28px 20px;
+  text-align: center;
+  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.06);
+
+  &:active {
+    opacity: 0.8;
+  }
+
+  &__icon {
+    font-size: 40px;
+    display: block;
+    margin-bottom: 8px;
+  }
+
+  &__label {
+    font-size: 24px;
+    color: #475569;
   }
 }
diff --git a/apps/miniprogram/src/pages/doctor/index.tsx b/apps/miniprogram/src/pages/doctor/index.tsx
index 36eadf1..796a978 100644
--- a/apps/miniprogram/src/pages/doctor/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/index.tsx
@@ -1,41 +1,101 @@
-import { View, Text } from '@tarojs/components';
-import { useAuthStore } from '@/stores/auth';
+import { useState, useEffect } from 'react';
+import { View, Text, ScrollView } from '@tarojs/components';
 import Taro from '@tarojs/taro';
+import { useAuthStore } from '@/stores/auth';
+import * as doctorApi from '@/services/doctor';
+import Loading from '@/components/Loading';
 import './index.scss';
 
+interface CardConfig {
+  key: keyof doctorApi.DoctorDashboard;
+  label: string;
+  icon: string;
+  route: string;
+  color: string;
+}
+
+const CARDS: CardConfig[] = [
+  { key: 'total_patients', label: '我的患者', icon: '👥', route: '/pages/doctor/patients/index', color: '#0891b2' },
+  { key: 'unread_messages', label: '未读消息', icon: '💬', route: '/pages/doctor/consultation/index', color: '#f59e0b' },
+  { key: 'pending_follow_ups', label: '待处理随访', icon: '📋', route: '/pages/doctor/followup/index', color: '#8b5cf6' },
+  { key: 'today_consultations', label: '今日咨询', icon: '🩺', route: '/pages/doctor/consultation/index', color: '#10b981' },
+];
+
 export default function DoctorHome() {
   const { user, logout } = useAuthStore();
+  const [dashboard, setDashboard] = useState<doctorApi.DoctorDashboard | null>(null);
+  const [loading, setLoading] = useState(true);
+
+  useEffect(() => {
+    loadDashboard();
+  }, []);
+
+  const loadDashboard = async () => {
+    try {
+      const data = await doctorApi.getDashboard();
+      setDashboard(data);
+    } catch {
+      // 静默失败，显示占位
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const handleCardClick = (card: CardConfig) => {
+    Taro.navigateTo({ url: card.route });
+  };
 
   const handleLogout = () => {
     logout();
-    Taro.redirectTo({ url: '/pages/login/index' });
   };
 
+  const getValue = (key: keyof doctorApi.DoctorDashboard): number | string => {
+    if (!dashboard) return '-';
+    return dashboard[key] ?? 0;
+  };
+
+  if (loading) return <Loading />;
+
   return (
-    <View className='doctor-home'>
+    <ScrollView scrollY className='doctor-home'>
       <View className='doctor-home__header'>
         <Text className='doctor-home__title'>医护工作台</Text>
-        <Text className='doctor-home__greeting'>{user?.display_name || user?.username || '医生'}，您好</Text>
+        <Text className='doctor-home__greeting'>
+          {user?.display_name || user?.username || '医生'}，您好
+        </Text>
+        <Text className='doctor-home__date'>
+          {new Date().toLocaleDateString('zh-CN', { month: 'long', day: 'numeric', weekday: 'long' })}
+        </Text>
       </View>
 
       <View className='doctor-home__section'>
         <Text className='doctor-home__section-title'>工作概览</Text>
         <View className='doctor-home__grid'>
-          <View className='doctor-home__card' onClick={() => Taro.showToast({ title: '开发中', icon: 'none' })}>
-            <Text className='doctor-home__card-num'>-</Text>
-            <Text className='doctor-home__card-label'>待回复咨询</Text>
+          {CARDS.map((card) => (
+            <View
+              key={card.key}
+              className='doctor-home__card'
+              style={`border-left: 6px solid ${card.color}`}
+              onClick={() => handleCardClick(card)}
+            >
+              <Text className='doctor-home__card-icon'>{card.icon}</Text>
+              <Text className='doctor-home__card-num'>{getValue(card.key)}</Text>
+              <Text className='doctor-home__card-label'>{card.label}</Text>
+            </View>
+          ))}
+        </View>
+      </View>
+
+      <View className='doctor-home__section'>
+        <Text className='doctor-home__section-title'>快捷操作</Text>
+        <View className='doctor-home__quick-actions'>
+          <View className='quick-action' onClick={() => Taro.navigateTo({ url: '/pages/doctor/report/index' })}>
+            <Text className='quick-action__icon'>📊</Text>
+            <Text className='quick-action__label'>化验审核</Text>
           </View>
-          <View className='doctor-home__card' onClick={() => Taro.showToast({ title: '开发中', icon: 'none' })}>
-            <Text className='doctor-home__card-num'>-</Text>
-            <Text className='doctor-home__card-label'>待处理随访</Text>
-          </View>
-          <View className='doctor-home__card' onClick={() => Taro.showToast({ title: '开发中', icon: 'none' })}>
-            <Text className='doctor-home__card-num'>-</Text>
-            <Text className='doctor-home__card-label'>今日咨询</Text>
-          </View>
-          <View className='doctor-home__card' onClick={() => Taro.showToast({ title: '开发中', icon: 'none' })}>
-            <Text className='doctor-home__card-num'>-</Text>
-            <Text className='doctor-home__card-label'>我的患者</Text>
+          <View className='quick-action' onClick={() => Taro.navigateTo({ url: '/pages/doctor/patients/index' })}>
+            <Text className='quick-action__icon'>🔍</Text>
+            <Text className='quick-action__label'>患者查询</Text>
           </View>
         </View>
       </View>
@@ -43,6 +103,6 @@ export default function DoctorHome() {
       <View className='doctor-home__footer'>
         <Text className='doctor-home__logout' onClick={handleLogout}>退出登录</Text>
       </View>
-    </View>
+    </ScrollView>
   );
 }
diff --git a/apps/miniprogram/src/pages/doctor/patients/detail/index.scss b/apps/miniprogram/src/pages/doctor/patients/detail/index.scss
new file mode 100644
index 0000000..3cd5fe8
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/patients/detail/index.scss
@@ -0,0 +1,199 @@
+.patient-detail {
+  min-height: 100vh;
+  background: #f0f4f8;
+  padding: 24px;
+  padding-bottom: 120px;
+}
+
+.section {
+  background: #fff;
+  border-radius: 16px;
+  padding: 28px;
+  margin-bottom: 20px;
+  box-shadow: 0 1px 4px rgba(0, 0, 0, 0.05);
+}
+
+.section-title {
+  font-size: 28px;
+  font-weight: 600;
+  color: #0f172a;
+  display: block;
+  margin-bottom: 20px;
+}
+
+.info-grid {
+  display: grid;
+  grid-template-columns: 1fr 1fr;
+  gap: 16px;
+}
+
+.info-item {
+  display: flex;
+  flex-direction: column;
+  gap: 4px;
+}
+
+.info-label {
+  font-size: 22px;
+  color: #94a3b8;
+}
+
+.info-value {
+  font-size: 28px;
+  color: #0f172a;
+  font-weight: 500;
+}
+
+.warning-card {
+  background: #fef3c7;
+  border-radius: 12px;
+  padding: 20px;
+  margin-bottom: 16px;
+}
+
+.warning-label {
+  font-size: 22px;
+  color: #b45309;
+  font-weight: 600;
+  display: block;
+  margin-bottom: 8px;
+}
+
+.warning-text {
+  font-size: 26px;
+  color: #92400e;
+}
+
+.info-block {
+  margin-bottom: 12px;
+}
+
+.info-block-label {
+  font-size: 22px;
+  color: #94a3b8;
+  display: block;
+  margin-bottom: 8px;
+}
+
+.info-block-text {
+  font-size: 26px;
+  color: #334155;
+  line-height: 1.6;
+}
+
+.vitals-grid {
+  display: grid;
+  grid-template-columns: 1fr 1fr;
+  gap: 16px;
+  margin-bottom: 16px;
+}
+
+.vital-item {
+  background: #f0f9ff;
+  border-radius: 12px;
+  padding: 20px;
+  text-align: center;
+}
+
+.vital-value {
+  font-size: 36px;
+  font-weight: 700;
+  color: #0891b2;
+  display: block;
+  margin-bottom: 4px;
+}
+
+.vital-label {
+  font-size: 22px;
+  color: #64748b;
+}
+
+.stat-row {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  padding: 16px 0;
+}
+
+.stat-label {
+  font-size: 26px;
+  color: #475569;
+}
+
+.stat-value {
+  font-size: 26px;
+  font-weight: 600;
+  color: #0f172a;
+
+  &--warn {
+    color: #f59e0b;
+  }
+}
+
+.lab-item {
+  padding: 20px 0;
+  border-bottom: 1px solid #f1f5f9;
+
+  &:last-child {
+    border-bottom: none;
+  }
+
+  &:active {
+    background: #f8fafc;
+  }
+
+  &__header {
+    display: flex;
+    justify-content: space-between;
+    align-items: center;
+    margin-bottom: 8px;
+  }
+
+  &__type {
+    font-size: 26px;
+    font-weight: 500;
+    color: #0f172a;
+  }
+
+  &__date {
+    font-size: 24px;
+    color: #94a3b8;
+  }
+
+  &__abnormal {
+    font-size: 24px;
+    color: #ef4444;
+    font-weight: 500;
+  }
+}
+
+.action-buttons {
+  display: flex;
+  gap: 16px;
+}
+
+.action-btn {
+  flex: 1;
+  text-align: center;
+  padding: 20px;
+  border-radius: 12px;
+  background: #0891b2;
+  color: #fff;
+  font-size: 26px;
+  font-weight: 500;
+
+  &:active {
+    opacity: 0.85;
+  }
+
+  text {
+    color: #fff;
+  }
+}
+
+.error-text {
+  text-align: center;
+  padding: 80px 32px;
+  color: #94a3b8;
+  font-size: 28px;
+}
diff --git a/apps/miniprogram/src/pages/doctor/patients/detail/index.tsx b/apps/miniprogram/src/pages/doctor/patients/detail/index.tsx
new file mode 100644
index 0000000..ca8414c
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/patients/detail/index.tsx
@@ -0,0 +1,156 @@
+import { useState, useEffect } from 'react';
+import { View, Text, ScrollView } from '@tarojs/components';
+import Taro, { useRouter } from '@tarojs/taro';
+import * as doctorApi from '@/services/doctor';
+import Loading from '@/components/Loading';
+import './index.scss';
+
+export default function PatientDetail() {
+  const router = useRouter();
+  const patientId = router.params.id || '';
+  const [patient, setPatient] = useState<doctorApi.PatientDetail | null>(null);
+  const [summary, setSummary] = useState<doctorApi.HealthSummary | null>(null);
+  const [loading, setLoading] = useState(true);
+
+  useEffect(() => {
+    if (patientId) loadData();
+  }, [patientId]);
+
+  const loadData = async () => {
+    setLoading(true);
+    try {
+      const [p, s] = await Promise.all([
+        doctorApi.getPatient(patientId),
+        doctorApi.getHealthSummary(patientId),
+      ]);
+      setPatient(p);
+      setSummary(s);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const getGenderLabel = (g?: string) => (g === 'male' ? '男' : g === 'female' ? '女' : g || '-');
+  const calcAge = (bd?: string) => {
+    if (!bd) return '-';
+    const diff = Date.now() - new Date(bd).getTime();
+    return Math.floor(diff / (365.25 * 24 * 3600 * 1000));
+  };
+
+  if (loading) return <Loading />;
+  if (!patient) return <View className='error-text'><Text>患者信息加载失败</Text></View>;
+
+  return (
+    <ScrollView scrollY className='patient-detail'>
+      {/* 基本信息 */}
+      <View className='section'>
+        <View className='section-header'>
+          <Text className='section-title'>基本信息</Text>
+        </View>
+        <View className='info-grid'>
+          <View className='info-item'><Text className='info-label'>姓名</Text><Text className='info-value'>{patient.name}</Text></View>
+          <View className='info-item'><Text className='info-label'>性别</Text><Text className='info-value'>{getGenderLabel(patient.gender)}</Text></View>
+          <View className='info-item'><Text className='info-label'>年龄</Text><Text className='info-value'>{calcAge(patient.birth_date)}岁</Text></View>
+          {patient.blood_type && <View className='info-item'><Text className='info-label'>血型</Text><Text className='info-value'>{patient.blood_type}</Text></View>}
+        </View>
+      </View>
+
+      {/* 医疗信息 */}
+      {(patient.allergy_history || patient.medical_history_summary) && (
+        <View className='section'>
+          <Text className='section-title'>医疗信息</Text>
+          {patient.allergy_history && (
+            <View className='warning-card'>
+              <Text className='warning-label'>过敏史</Text>
+              <Text className='warning-text'>{patient.allergy_history}</Text>
+            </View>
+          )}
+          {patient.medical_history_summary && (
+            <View className='info-block'>
+              <Text className='info-block-label'>病史摘要</Text>
+              <Text className='info-block-text'>{patient.medical_history_summary}</Text>
+            </View>
+          )}
+        </View>
+      )}
+
+      {/* 健康摘要 */}
+      {summary && (
+        <View className='section'>
+          <Text className='section-title'>健康概览</Text>
+          {summary.latest_vital_signs && (
+            <View className='vitals-grid'>
+              {summary.latest_vital_signs.systolic_bp != null && (
+                <View className='vital-item'>
+                  <Text className='vital-value'>{summary.latest_vital_signs.systolic_bp}/{summary.latest_vital_signs.diastolic_bp}</Text>
+                  <Text className='vital-label'>血压 mmHg</Text>
+                </View>
+              )}
+              {summary.latest_vital_signs.heart_rate != null && (
+                <View className='vital-item'>
+                  <Text className='vital-value'>{summary.latest_vital_signs.heart_rate}</Text>
+                  <Text className='vital-label'>心率 bpm</Text>
+                </View>
+              )}
+              {summary.latest_vital_signs.weight != null && (
+                <View className='vital-item'>
+                  <Text className='vital-value'>{summary.latest_vital_signs.weight}</Text>
+                  <Text className='vital-label'>体重 kg</Text>
+                </View>
+              )}
+              {summary.latest_vital_signs.blood_sugar != null && (
+                <View className='vital-item'>
+                  <Text className='vital-value'>{summary.latest_vital_signs.blood_sugar}</Text>
+                  <Text className='vital-label'>血糖 mmol/L</Text>
+                </View>
+              )}
+            </View>
+          )}
+          {summary.pending_follow_ups != null && summary.pending_follow_ups > 0 && (
+            <View className='stat-row'>
+              <Text className='stat-label'>待处理随访</Text>
+              <Text className='stat-value stat-value--warn'>{summary.pending_follow_ups} 项</Text>
+            </View>
+          )}
+        </View>
+      )}
+
+      {/* 近期化验 */}
+      {summary?.recent_lab_reports && summary.recent_lab_reports.length > 0 && (
+        <View className='section'>
+          <Text className='section-title'>近期化验</Text>
+          {summary.recent_lab_reports.map((r) => (
+            <View
+              key={r.id}
+              className='lab-item'
+              onClick={() => Taro.navigateTo({ url: `/pages/doctor/report/detail/index?patientId=${patientId}&id=${r.id}` })}
+            >
+              <View className='lab-item__header'>
+                <Text className='lab-item__type'>{r.report_type}</Text>
+                <Text className='lab-item__date'>{r.report_date}</Text>
+              </View>
+              {r.abnormal_count > 0 && (
+                <Text className='lab-item__abnormal'>{r.abnormal_count} 项异常</Text>
+              )}
+            </View>
+          ))}
+        </View>
+      )}
+
+      {/* 快捷操作 */}
+      <View className='section'>
+        <Text className='section-title'>操作</Text>
+        <View className='action-buttons'>
+          <View className='action-btn' onClick={() => Taro.navigateTo({ url: `/pages/doctor/report/index?patientId=${patientId}` })}>
+            <Text>查看化验报告</Text>
+          </View>
+          <View className='action-btn' onClick={() => Taro.navigateTo({ url: `/pages/doctor/followup/index?patientId=${patientId}` })}>
+            <Text>随访记录</Text>
+          </View>
+        </View>
+      </View>
+    </ScrollView>
+  );
+}
diff --git a/apps/miniprogram/src/pages/doctor/patients/index.scss b/apps/miniprogram/src/pages/doctor/patients/index.scss
new file mode 100644
index 0000000..e778683
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/patients/index.scss
@@ -0,0 +1,140 @@
+.patient-list-page {
+  min-height: 100vh;
+  background: #f0f4f8;
+  padding: 24px;
+  padding-bottom: 120px;
+}
+
+.search-bar {
+  margin-bottom: 20px;
+
+  .search-input {
+    background: #fff;
+    border-radius: 12px;
+    padding: 20px 24px;
+    font-size: 28px;
+    width: 100%;
+    box-sizing: border-box;
+  }
+}
+
+.tag-filter {
+  white-space: nowrap;
+  margin-bottom: 20px;
+  width: 100%;
+}
+
+.tag-chip {
+  display: inline-block;
+  padding: 10px 24px;
+  border-radius: 20px;
+  background: #e2e8f0;
+  font-size: 24px;
+  color: #475569;
+  margin-right: 16px;
+
+  &.active {
+    background: #0891b2;
+    color: #fff;
+  }
+}
+
+.patient-count {
+  margin-bottom: 16px;
+
+  text {
+    font-size: 24px;
+    color: #94a3b8;
+  }
+}
+
+.patient-cards {
+  display: flex;
+  flex-direction: column;
+  gap: 16px;
+}
+
+.patient-card {
+  background: #fff;
+  border-radius: 16px;
+  padding: 28px;
+  box-shadow: 0 1px 4px rgba(0, 0, 0, 0.05);
+
+  &:active {
+    background: #f8fafc;
+  }
+
+  &__header {
+    display: flex;
+    align-items: center;
+    margin-bottom: 12px;
+  }
+
+  &__name {
+    font-size: 30px;
+    font-weight: 600;
+    color: #0f172a;
+    margin-right: 16px;
+  }
+
+  &__meta {
+    font-size: 24px;
+    color: #64748b;
+  }
+
+  &__tags {
+    display: flex;
+    flex-wrap: wrap;
+    gap: 8px;
+    margin-bottom: 8px;
+  }
+
+  &__status {
+    font-size: 22px;
+    padding: 4px 12px;
+    border-radius: 8px;
+
+    &--active {
+      background: #dcfce7;
+      color: #16a34a;
+    }
+
+    &--inactive {
+      background: #f1f5f9;
+      color: #94a3b8;
+    }
+  }
+}
+
+.patient-tag {
+  padding: 4px 14px;
+  border-radius: 12px;
+  background: #e0f2fe;
+
+  &__text {
+    font-size: 22px;
+  }
+}
+
+.pagination {
+  display: flex;
+  justify-content: center;
+  align-items: center;
+  gap: 24px;
+  margin-top: 32px;
+
+  &__btn {
+    font-size: 26px;
+    color: #0891b2;
+    padding: 12px 24px;
+
+    &.disabled {
+      color: #cbd5e1;
+    }
+  }
+
+  &__info {
+    font-size: 24px;
+    color: #64748b;
+  }
+}
diff --git a/apps/miniprogram/src/pages/doctor/patients/index.tsx b/apps/miniprogram/src/pages/doctor/patients/index.tsx
new file mode 100644
index 0000000..5fbe1a5
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/patients/index.tsx
@@ -0,0 +1,176 @@
+import { useState, useEffect } from 'react';
+import { View, Text, Input, ScrollView } from '@tarojs/components';
+import Taro from '@tarojs/taro';
+import * as doctorApi from '@/services/doctor';
+import Loading from '@/components/Loading';
+import EmptyState from '@/components/EmptyState';
+import './index.scss';
+
+export default function PatientList() {
+  const [patients, setPatients] = useState<doctorApi.PatientItem[]>([]);
+  const [tags, setTags] = useState<doctorApi.PatientTag[]>([]);
+  const [activeTag, setActiveTag] = useState<string>('');
+  const [search, setSearch] = useState('');
+  const [loading, setLoading] = useState(true);
+  const [total, setTotal] = useState(0);
+  const [page, setPage] = useState(1);
+
+  useEffect(() => {
+    loadTags();
+  }, []);
+
+  useEffect(() => {
+    loadPatients();
+  }, [page, activeTag]);
+
+  const loadTags = async () => {
+    try {
+      const res = await doctorApi.listPatientTags();
+      setTags(res.data || []);
+    } catch { /* ignore */ }
+  };
+
+  const loadPatients = async () => {
+    setLoading(true);
+    try {
+      const res = await doctorApi.listPatients({
+        page,
+        page_size: 20,
+        search: search || undefined,
+        tag_id: activeTag || undefined,
+      });
+      setPatients(res.data || []);
+      setTotal(res.total || 0);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const handleSearch = () => {
+    setPage(1);
+    loadPatients();
+  };
+
+  const handleTagFilter = (tagId: string) => {
+    setActiveTag(tagId === activeTag ? '' : tagId);
+    setPage(1);
+  };
+
+  const getGenderLabel = (gender?: string) => {
+    if (!gender) return '';
+    return gender === 'male' ? '男' : gender === 'female' ? '女' : gender;
+  };
+
+  const calcAge = (birthDate?: string) => {
+    if (!birthDate) return '';
+    const birth = new Date(birthDate);
+    const now = new Date();
+    let age = now.getFullYear() - birth.getFullYear();
+    if (now.getMonth() < birth.getMonth() ||
+      (now.getMonth() === birth.getMonth() && now.getDate() < birth.getDate())) {
+      age--;
+    }
+    return `${age}岁`;
+  };
+
+  if (loading && patients.length === 0) return <Loading />;
+
+  return (
+    <ScrollView scrollY className='patient-list-page'>
+      <View className='search-bar'>
+        <Input
+          className='search-input'
+          placeholder='搜索患者姓名/手机号'
+          value={search}
+          onInput={(e) => setSearch(e.detail.value)}
+          confirmType='search'
+          onConfirm={handleSearch}
+        />
+      </View>
+
+      {tags.length > 0 && (
+        <ScrollView scrollX className='tag-filter'>
+          <View
+            className={`tag-chip ${!activeTag ? 'active' : ''}`}
+            onClick={() => handleTagFilter('')}
+          >
+            <Text>全部</Text>
+          </View>
+          {tags.map((tag) => (
+            <View
+              key={tag.id}
+              className={`tag-chip ${activeTag === tag.id ? 'active' : ''}`}
+              style={activeTag === tag.id && tag.color ? `background: ${tag.color}; color: #fff` : ''}
+              onClick={() => handleTagFilter(tag.id)}
+            >
+              <Text>{tag.name}</Text>
+            </View>
+          ))}
+        </ScrollView>
+      )}
+
+      <View className='patient-count'>
+        <Text>共 {total} 位患者</Text>
+      </View>
+
+      {patients.length === 0 ? (
+        <EmptyState text='暂无患者数据' />
+      ) : (
+        <View className='patient-cards'>
+          {patients.map((p) => (
+            <View
+              key={p.id}
+              className='patient-card'
+              onClick={() => Taro.navigateTo({ url: `/pages/doctor/patients/detail/index?id=${p.id}` })}
+            >
+              <View className='patient-card__header'>
+                <Text className='patient-card__name'>{p.name}</Text>
+                <Text className='patient-card__meta'>
+                  {getGenderLabel(p.gender)} {calcAge(p.birth_date)}
+                </Text>
+              </View>
+              {p.tags && p.tags.length > 0 && (
+                <View className='patient-card__tags'>
+                  {p.tags.map((t) => (
+                    <View
+                      key={t.id}
+                      className='patient-tag'
+                      style={t.color ? `background: ${t.color}20; color: ${t.color}` : ''}
+                    >
+                      <Text className='patient-tag__text'>{t.name}</Text>
+                    </View>
+                  ))}
+                </View>
+              )}
+              {p.status && (
+                <Text className={`patient-card__status patient-card__status--${p.status}`}>
+                  {p.status === 'active' ? '活跃' : p.status === 'inactive' ? '非活跃' : p.status}
+                </Text>
+              )}
+            </View>
+          ))}
+        </View>
+      )}
+
+      {total > 20 && (
+        <View className='pagination'>
+          <Text
+            className={`pagination__btn ${page <= 1 ? 'disabled' : ''}`}
+            onClick={() => page > 1 && setPage(page - 1)}
+          >
+            上一页
+          </Text>
+          <Text className='pagination__info'>{page} / {Math.ceil(total / 20)}</Text>
+          <Text
+            className={`pagination__btn ${page >= Math.ceil(total / 20) ? 'disabled' : ''}`}
+            onClick={() => page < Math.ceil(total / 20) && setPage(page + 1)}
+          >
+            下一页
+          </Text>
+        </View>
+      )}
+    </ScrollView>
+  );
+}
diff --git a/apps/miniprogram/src/pages/doctor/report/detail/index.scss b/apps/miniprogram/src/pages/doctor/report/detail/index.scss
new file mode 100644
index 0000000..5c405bc
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/report/detail/index.scss
@@ -0,0 +1,170 @@
+.report-detail {
+  min-height: 100vh;
+  background: #f0f4f8;
+  padding: 24px;
+  padding-bottom: 120px;
+}
+
+.section {
+  background: #fff;
+  border-radius: 16px;
+  padding: 28px;
+  margin-bottom: 20px;
+  box-shadow: 0 1px 4px rgba(0, 0, 0, 0.05);
+}
+
+.section-title {
+  font-size: 28px;
+  font-weight: 600;
+  color: #0f172a;
+  display: block;
+  margin-bottom: 20px;
+}
+
+.report-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  margin-bottom: 12px;
+
+  &__type {
+    font-size: 32px;
+    font-weight: 700;
+    color: #0f172a;
+  }
+
+  &__status {
+    font-size: 24px;
+    padding: 6px 16px;
+    border-radius: 12px;
+    font-weight: 500;
+
+    &--pending { background: #fef3c7; color: #b45309; }
+    &--reviewed { background: #dcfce7; color: #16a34a; }
+  }
+}
+
+.report-date {
+  font-size: 26px;
+  color: #64748b;
+  display: block;
+}
+
+.review-info {
+  font-size: 24px;
+  color: #10b981;
+  display: block;
+  margin-top: 8px;
+}
+
+.indicator-table {
+  width: 100%;
+}
+
+.indicator-row {
+  display: flex;
+  padding: 16px 0;
+  border-bottom: 1px solid #f1f5f9;
+  align-items: center;
+
+  &--header {
+    border-bottom: 2px solid #e2e8f0;
+    padding-bottom: 12px;
+  }
+
+  &--abnormal {
+    background: #fef2f2;
+    margin: 0 -12px;
+    padding: 16px 12px;
+    border-radius: 8px;
+  }
+}
+
+.indicator-cell {
+  font-size: 24px;
+
+  &--name {
+    flex: 2;
+    color: #334155;
+    font-weight: 500;
+  }
+
+  &--value {
+    flex: 2;
+    color: #0f172a;
+    font-weight: 600;
+    text-align: center;
+  }
+
+  &--ref {
+    flex: 2;
+    color: #94a3b8;
+    text-align: center;
+  }
+
+  &--flag {
+    flex: 1;
+    text-align: right;
+    color: #10b981;
+  }
+
+  .indicator-row--abnormal &--flag {
+    color: #ef4444;
+    font-weight: 700;
+  }
+
+  .indicator-row--header & {
+    font-size: 22px;
+    color: #94a3b8;
+    font-weight: 400;
+  }
+}
+
+.notes-display {
+  background: #f0f9ff;
+  border-radius: 12px;
+  padding: 20px;
+}
+
+.notes-text {
+  font-size: 26px;
+  color: #334155;
+  line-height: 1.6;
+}
+
+.notes-textarea {
+  width: 100%;
+  min-height: 200px;
+  background: #f8fafc;
+  border-radius: 12px;
+  padding: 20px;
+  font-size: 26px;
+  color: #0f172a;
+  box-sizing: border-box;
+  line-height: 1.6;
+  margin-bottom: 20px;
+}
+
+.review-btn {
+  background: #0891b2;
+  border-radius: 12px;
+  padding: 20px;
+  text-align: center;
+
+  &--disabled {
+    opacity: 0.5;
+  }
+
+  &__text {
+    font-size: 28px;
+    color: #fff;
+    font-weight: 600;
+  }
+}
+
+.error-text {
+  text-align: center;
+  padding: 80px 32px;
+  color: #94a3b8;
+  font-size: 28px;
+}
diff --git a/apps/miniprogram/src/pages/doctor/report/detail/index.tsx b/apps/miniprogram/src/pages/doctor/report/detail/index.tsx
new file mode 100644
index 0000000..7cfe163
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/report/detail/index.tsx
@@ -0,0 +1,133 @@
+import { useState, useEffect } from 'react';
+import { View, Text, Textarea, ScrollView } from '@tarojs/components';
+import Taro, { useRouter } from '@tarojs/taro';
+import * as doctorApi from '@/services/doctor';
+import Loading from '@/components/Loading';
+import './index.scss';
+
+export default function ReportDetail() {
+  const router = useRouter();
+  const patientId = router.params.patientId || '';
+  const reportId = router.params.id || '';
+  const [report, setReport] = useState<doctorApi.LabReportDetail | null>(null);
+  const [loading, setLoading] = useState(true);
+  const [doctorNotes, setDoctorNotes] = useState('');
+  const [submitting, setSubmitting] = useState(false);
+
+  useEffect(() => {
+    if (patientId && reportId) loadReport();
+  }, [patientId, reportId]);
+
+  const loadReport = async () => {
+    setLoading(true);
+    try {
+      const r = await doctorApi.getLabReport(patientId, reportId);
+      setReport(r);
+      setDoctorNotes(r.doctor_notes || '');
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const handleReview = async () => {
+    if (!report) return;
+    setSubmitting(true);
+    try {
+      const updated = await doctorApi.reviewLabReport(patientId, reportId, {
+        doctor_notes: doctorNotes.trim() || undefined,
+        version: report.version,
+      });
+      setReport(updated);
+      Taro.showToast({ title: '审核完成', icon: 'success' });
+    } catch {
+      Taro.showToast({ title: '审核失败', icon: 'none' });
+    } finally {
+      setSubmitting(false);
+    }
+  };
+
+  const formatDate = (d: string) => new Date(d).toLocaleDateString('zh-CN');
+
+  if (loading) return <Loading />;
+  if (!report) return <View className='error-text'><Text>报告加载失败</Text></View>;
+
+  return (
+    <ScrollView scrollY className='report-detail'>
+      {/* 基本信息 */}
+      <View className='section'>
+        <View className='report-header'>
+          <Text className='report-header__type'>{report.report_type}</Text>
+          <Text className={`report-header__status report-header__status--${report.status}`}>
+            {report.status === 'pending' ? '待审核' : report.status === 'reviewed' ? '已审核' : report.status}
+          </Text>
+        </View>
+        <Text className='report-date'>报告日期: {formatDate(report.report_date)}</Text>
+        {report.reviewed_at && (
+          <Text className='review-info'>审核于: {formatDate(report.reviewed_at)}</Text>
+        )}
+      </View>
+
+      {/* 指标列表 */}
+      {report.items && report.items.length > 0 && (
+        <View className='section'>
+          <Text className='section-title'>检验指标</Text>
+          <View className='indicator-table'>
+            <View className='indicator-row indicator-row--header'>
+              <Text className='indicator-cell indicator-cell--name'>指标</Text>
+              <Text className='indicator-cell indicator-cell--value'>结果</Text>
+              <Text className='indicator-cell indicator-cell--ref'>参考值</Text>
+              <Text className='indicator-cell indicator-cell--flag'>状态</Text>
+            </View>
+            {report.items.map((item, idx) => (
+              <View
+                key={idx}
+                className={`indicator-row ${item.is_abnormal ? 'indicator-row--abnormal' : ''}`}
+              >
+                <Text className='indicator-cell indicator-cell--name'>{item.name}</Text>
+                <Text className='indicator-cell indicator-cell--value'>
+                  {item.value} {item.unit || ''}
+                </Text>
+                <Text className='indicator-cell indicator-cell--ref'>
+                  {item.reference_min != null && item.reference_max != null
+                    ? `${item.reference_min}-${item.reference_max}`
+                    : '-'}
+                </Text>
+                <Text className='indicator-cell indicator-cell--flag'>
+                  {item.is_abnormal ? '↑' : '正常'}
+                </Text>
+              </View>
+            ))}
+          </View>
+        </View>
+      )}
+
+      {/* 医生注释 */}
+      <View className='section'>
+        <Text className='section-title'>医生注释</Text>
+        {report.status === 'reviewed' && report.doctor_notes ? (
+          <View className='notes-display'>
+            <Text className='notes-text'>{report.doctor_notes}</Text>
+          </View>
+        ) : (
+          <View>
+            <Textarea
+              className='notes-textarea'
+              placeholder='输入诊断意见和备注...'
+              value={doctorNotes}
+              onInput={(e) => setDoctorNotes(e.detail.value)}
+              maxlength={1000}
+            />
+            <View
+              className={`review-btn ${submitting ? 'review-btn--disabled' : ''}`}
+              onClick={handleReview}
+            >
+              <Text className='review-btn__text'>{submitting ? '提交中...' : '确认审核'}</Text>
+            </View>
+          </View>
+        )}
+      </View>
+    </ScrollView>
+  );
+}
diff --git a/apps/miniprogram/src/pages/doctor/report/index.scss b/apps/miniprogram/src/pages/doctor/report/index.scss
new file mode 100644
index 0000000..16e217b
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/report/index.scss
@@ -0,0 +1,88 @@
+.report-page {
+  min-height: 100vh;
+  background: #f0f4f8;
+  padding: 24px;
+  padding-bottom: 120px;
+}
+
+.search-bar {
+  margin-bottom: 20px;
+
+  .search-input {
+    background: #fff;
+    border-radius: 12px;
+    padding: 20px 24px;
+    font-size: 28px;
+    width: 100%;
+    box-sizing: border-box;
+  }
+}
+
+.report-count {
+  margin-bottom: 16px;
+
+  text {
+    font-size: 24px;
+    color: #94a3b8;
+  }
+}
+
+.report-list {
+  display: flex;
+  flex-direction: column;
+  gap: 16px;
+}
+
+.report-card {
+  background: #fff;
+  border-radius: 16px;
+  padding: 28px;
+  box-shadow: 0 1px 4px rgba(0, 0, 0, 0.05);
+
+  &:active {
+    background: #f8fafc;
+  }
+
+  &__header {
+    display: flex;
+    justify-content: space-between;
+    align-items: center;
+    margin-bottom: 12px;
+  }
+
+  &__type {
+    font-size: 28px;
+    font-weight: 600;
+    color: #0f172a;
+  }
+
+  &__date {
+    font-size: 24px;
+    color: #94a3b8;
+  }
+
+  &__indicators {
+    display: flex;
+    align-items: center;
+    gap: 16px;
+  }
+
+  &__abnormal {
+    font-size: 26px;
+    color: #ef4444;
+    font-weight: 600;
+  }
+
+  &__normal {
+    font-size: 26px;
+    color: #10b981;
+  }
+
+  &__reviewed {
+    font-size: 22px;
+    color: #0891b2;
+    background: #e0f2fe;
+    padding: 2px 12px;
+    border-radius: 8px;
+  }
+}
diff --git a/apps/miniprogram/src/pages/doctor/report/index.tsx b/apps/miniprogram/src/pages/doctor/report/index.tsx
new file mode 100644
index 0000000..3ea916c
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/report/index.tsx
@@ -0,0 +1,109 @@
+import { useState, useEffect } from 'react';
+import { View, Text, Input, ScrollView } from '@tarojs/components';
+import Taro, { useRouter } from '@tarojs/taro';
+import * as doctorApi from '@/services/doctor';
+import Loading from '@/components/Loading';
+import EmptyState from '@/components/EmptyState';
+import './index.scss';
+
+export default function ReportList() {
+  const router = useRouter();
+  const patientId = router.params.patientId || '';
+  const [searchPatient, setSearchPatient] = useState('');
+  const [currentPatientId, setCurrentPatientId] = useState(patientId);
+  const [reports, setReports] = useState<doctorApi.LabReportItem[]>([]);
+  const [loading, setLoading] = useState(false);
+  const [total, setTotal] = useState(0);
+
+  useEffect(() => {
+    if (currentPatientId) loadReports();
+  }, [currentPatientId]);
+
+  const loadReports = async () => {
+    setLoading(true);
+    try {
+      const res = await doctorApi.listLabReports(currentPatientId, { page: 1, page_size: 50 });
+      setReports(res.data || []);
+      setTotal(res.total || 0);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const handleSearch = async () => {
+    if (!searchPatient.trim()) return;
+    setLoading(true);
+    try {
+      const res = await doctorApi.listPatients({ search: searchPatient.trim(), page: 1, page_size: 1 });
+      if (res.data && res.data.length > 0) {
+        setCurrentPatientId(res.data[0].id);
+        Taro.setNavigationBarTitle({ title: res.data[0].name + '的化验报告' });
+      } else {
+        Taro.showToast({ title: '未找到患者', icon: 'none' });
+      }
+    } catch {
+      Taro.showToast({ title: '搜索失败', icon: 'none' });
+    } finally {
+      setLoading(false);
+    }
+  };
+
+  const formatDate = (d: string) => new Date(d).toLocaleDateString('zh-CN');
+
+  if (loading && reports.length === 0) return <Loading />;
+
+  return (
+    <ScrollView scrollY className='report-page'>
+      {!patientId && (
+        <View className='search-bar'>
+          <Input
+            className='search-input'
+            placeholder='搜索患者姓名'
+            value={searchPatient}
+            onInput={(e) => setSearchPatient(e.detail.value)}
+            confirmType='search'
+            onConfirm={handleSearch}
+          />
+        </View>
+      )}
+
+      {!currentPatientId ? (
+        <EmptyState text='请搜索并选择患者' />
+      ) : reports.length === 0 ? (
+        <EmptyState text='暂无化验报告' />
+      ) : (
+        <View className='report-list'>
+          <View className='report-count'>
+            <Text>共 {total} 份报告</Text>
+          </View>
+          {reports.map((r) => (
+            <View
+              key={r.id}
+              className='report-card'
+              onClick={() => Taro.navigateTo({
+                url: `/pages/doctor/report/detail/index?patientId=${currentPatientId}&id=${r.id}`,
+              })}
+            >
+              <View className='report-card__header'>
+                <Text className='report-card__type'>{r.report_type}</Text>
+                <Text className='report-card__date'>{formatDate(r.report_date)}</Text>
+              </View>
+              <View className='report-card__indicators'>
+                {(r.abnormal_count ?? 0) > 0 ? (
+                  <Text className='report-card__abnormal'>{r.abnormal_count} 项异常</Text>
+                ) : (
+                  <Text className='report-card__normal'>指标正常</Text>
+                )}
+                {r.status === 'reviewed' && (
+                  <Text className='report-card__reviewed'>已审核</Text>
+                )}
+              </View>
+            </View>
+          ))}
+        </View>
+      )}
+    </ScrollView>
+  );
+}
diff --git a/apps/miniprogram/src/pages/login/index.tsx b/apps/miniprogram/src/pages/login/index.tsx
index ad0efe1..79d0cb3 100644
--- a/apps/miniprogram/src/pages/login/index.tsx
+++ b/apps/miniprogram/src/pages/login/index.tsx
@@ -7,8 +7,6 @@ import './index.scss';
 export default function Login() {
   const [needBind, setNeedBind] = useState(false);
   const [agreed, setAgreed] = useState(false);
-  const { login, bindPhone, loading } = useAuthStore();
-
   const { login, bindPhone, loading, isMedicalStaff } = useAuthStore();
 
   /** 登录/绑定成功后根据角色跳转 */
diff --git a/apps/miniprogram/src/services/doctor.ts b/apps/miniprogram/src/services/doctor.ts
new file mode 100644
index 0000000..c625e41
--- /dev/null
+++ b/apps/miniprogram/src/services/doctor.ts
@@ -0,0 +1,296 @@
+import { api } from './request';
+
+// ── Dashboard ──────────────────────────────────────
+
+export interface DoctorDashboard {
+  total_patients: number;
+  active_sessions: number;
+  unread_messages: number;
+  pending_follow_ups: number;
+  today_consultations: number;
+}
+
+export async function getDashboard() {
+  return api.get<DoctorDashboard>('/health/doctor/dashboard');
+}
+
+// ── Patient (doctor view) ──────────────────────────
+
+export interface PatientItem {
+  id: string;
+  name: string;
+  gender?: string;
+  birth_date?: string;
+  phone?: string;
+  status?: string;
+  tags?: { id: string; name: string; color?: string }[];
+  last_visit_date?: string;
+  version: number;
+}
+
+export interface PatientDetail extends PatientItem {
+  blood_type?: string;
+  allergy_history?: string;
+  medical_history_summary?: string;
+  emergency_contact_name?: string;
+  emergency_contact_phone?: string;
+  source?: string;
+  notes?: string;
+}
+
+export interface HealthSummary {
+  latest_vital_signs?: {
+    record_date: string;
+    systolic_bp?: number;
+    diastolic_bp?: number;
+    heart_rate?: number;
+    weight?: number;
+    blood_sugar?: number;
+  };
+  active_conditions?: string[];
+  recent_lab_reports?: { id: string; report_date: string; report_type: string; abnormal_count: number }[];
+  upcoming_appointments?: { id: string; appointment_date: string; type: string }[];
+  pending_follow_ups?: number;
+}
+
+export interface PatientTag {
+  id: string;
+  name: string;
+  color?: string;
+  is_system?: boolean;
+}
+
+export async function listPatients(params?: {
+  page?: number;
+  page_size?: number;
+  search?: string;
+  tag_id?: string;
+}) {
+  return api.get<{ data: PatientItem[]; total: number }>('/health/patients', params);
+}
+
+export async function getPatient(id: string) {
+  return api.get<PatientDetail>(`/health/patients/${id}`);
+}
+
+export async function getHealthSummary(patientId: string) {
+  return api.get<HealthSummary>(`/health/patients/${patientId}/health-summary`);
+}
+
+export async function listPatientTags() {
+  return api.get<{ data: PatientTag[]; total: number }>('/health/patient-tags');
+}
+
+// ── Consultation (doctor view) ─────────────────────
+
+export interface ConsultationSession {
+  id: string;
+  patient_id: string;
+  patient_name?: string;
+  doctor_id: string | null;
+  consultation_type: string;
+  status: string;
+  subject: string | null;
+  last_message: string | null;
+  last_message_at: string | null;
+  unread_count_doctor?: number;
+  created_at: string;
+}
+
+export interface ConsultationMessage {
+  id: string;
+  session_id: string;
+  sender_id: string;
+  sender_role: string;
+  content_type: string;
+  content: string;
+  created_at: string;
+}
+
+export async function listSessions(params?: {
+  page?: number;
+  page_size?: number;
+  status?: string;
+}) {
+  return api.get<{ data: ConsultationSession[]; total: number }>(
+    '/health/consultation-sessions',
+    params,
+  );
+}
+
+export async function getSession(id: string) {
+  return api.get<ConsultationSession>(`/health/consultation-sessions/${id}`);
+}
+
+export async function listMessages(sessionId: string, params?: { page?: number; page_size?: number }) {
+  return api.get<{ data: ConsultationMessage[]; total: number }>(
+    `/health/consultation-sessions/${sessionId}/messages`,
+    params,
+  );
+}
+
+export async function sendMessage(sessionId: string, content: string, contentType = 'text') {
+  return api.post<ConsultationMessage>('/health/consultation-messages', {
+    session_id: sessionId,
+    content_type: contentType,
+    content,
+  });
+}
+
+export async function markSessionRead(sessionId: string) {
+  return api.put<void>(`/health/consultation-sessions/${sessionId}/read`);
+}
+
+export async function closeSession(sessionId: string) {
+  return api.put<void>(`/health/consultation-sessions/${sessionId}/close`);
+}
+
+// ── Follow-up (doctor view) ────────────────────────
+
+export interface FollowUpTask {
+  id: string;
+  patient_id: string;
+  patient_name?: string;
+  assigned_to?: string;
+  follow_up_type: string;
+  planned_date: string;
+  content_template?: string;
+  status: string;
+  created_at: string;
+  version: number;
+}
+
+export interface FollowUpRecord {
+  id: string;
+  task_id: string;
+  executed_by?: string;
+  executed_date: string;
+  result?: string;
+  patient_condition?: string;
+  medical_advice?: string;
+  next_follow_up_date?: string;
+  created_at: string;
+}
+
+export async function listFollowUpTasks(params?: {
+  page?: number;
+  page_size?: number;
+  status?: string;
+  patient_id?: string;
+}) {
+  return api.get<{ data: FollowUpTask[]; total: number }>('/health/follow-up-tasks', params);
+}
+
+export async function getFollowUpTask(id: string) {
+  return api.get<FollowUpTask>(`/health/follow-up-tasks/${id}`);
+}
+
+export async function updateFollowUpTask(id: string, data: Record<string, unknown>, version: number) {
+  return api.put<FollowUpTask>(`/health/follow-up-tasks/${id}`, { ...data, version });
+}
+
+export async function createFollowUpRecord(taskId: string, data: {
+  result?: string;
+  patient_condition?: string;
+  medical_advice?: string;
+  next_follow_up_date?: string;
+}) {
+  return api.post<FollowUpRecord>(`/health/follow-up-tasks/${taskId}/records`, data);
+}
+
+export async function listFollowUpRecords(params?: { task_id?: string; page?: number }) {
+  return api.get<{ data: FollowUpRecord[]; total: number }>('/health/follow-up-records', params);
+}
+
+// ── Lab Report (doctor view) ───────────────────────
+
+export interface LabReportItem {
+  id: string;
+  report_date: string;
+  report_type: string;
+  status: string;
+  abnormal_count?: number;
+  reviewed_by?: string;
+  reviewed_at?: string;
+  doctor_notes?: string;
+  version: number;
+}
+
+export interface LabReportDetail extends LabReportItem {
+  items?: {
+    name: string;
+    value: number;
+    unit?: string;
+    reference_min?: number;
+    reference_max?: number;
+    is_abnormal?: boolean;
+  }[];
+  image_urls?: string[];
+}
+
+export async function listLabReports(patientId: string, params?: { page?: number; page_size?: number }) {
+  return api.get<{ data: LabReportItem[]; total: number }>(
+    `/health/patients/${patientId}/lab-reports`,
+    params,
+  );
+}
+
+export async function getLabReport(patientId: string, reportId: string) {
+  return api.get<LabReportDetail>(`/health/patients/${patientId}/lab-reports/${reportId}`);
+}
+
+export async function reviewLabReport(
+  patientId: string,
+  reportId: string,
+  data: { doctor_notes?: string; version: number },
+) {
+  return api.put<LabReportDetail>(
+    `/health/patients/${patientId}/lab-reports/${reportId}/review`,
+    data,
+  );
+}
+
+// ── Appointments (doctor view) ─────────────────────
+
+export async function listAppointments(params?: {
+  page?: number;
+  page_size?: number;
+  status?: string;
+  date?: string;
+}) {
+  return api.get<{ data: any[]; total: number }>('/health/appointments', params);
+}
+
+// ── Statistics ─────────────────────────────────────
+
+export interface PatientStats {
+  total: number;
+  active: number;
+  new_this_month: number;
+  by_source?: Record<string, number>;
+}
+
+export interface ConsultationStats {
+  total: number;
+  active: number;
+  avg_response_time_minutes?: number;
+}
+
+export interface FollowUpStats {
+  total: number;
+  completed: number;
+  overdue: number;
+  completion_rate?: number;
+}
+
+export async function getPatientStats() {
+  return api.get<PatientStats>('/health/admin/statistics/patients');
+}
+
+export async function getConsultationStats() {
+  return api.get<ConsultationStats>('/health/admin/statistics/consultations');
+}
+
+export async function getFollowUpStats() {
+  return api.get<FollowUpStats>('/health/admin/statistics/follow-ups');
+}