diff --git a/app/Common/Common.php b/app/Common/Common.php
index bc55af6..93aea9f 100644
--- a/app/Common/Common.php
+++ b/app/Common/Common.php
@@ -235,4 +235,20 @@ function sexToStringSex(string|int $sex): string
     }
 
     return $result;
+}
+
+/**
+ * 检测并创建目录
+ * @param string $dir 文件目录
+ * @param int $mode 权限
+ * @return bool
+ */
+function mkdirs(string $dir, int $mode = 0755): bool
+{
+    if (is_dir($dir) || @mkdir($dir, $mode)) return TRUE;
+
+    if (!mkdirs(dirname($dir), $mode)) return FALSE;
+
+    return @mkdir($dir, $mode);
+
 }
\ No newline at end of file
diff --git a/app/Controller/PatientOrderController.php b/app/Controller/PatientOrderController.php
index 324bad8..67e5afc 100644
--- a/app/Controller/PatientOrderController.php
+++ b/app/Controller/PatientOrderController.php
@@ -70,6 +70,8 @@ class PatientOrderController extends AbstractController
     /**
      * 问诊订单取消支付
      * @return ResponseInterface
+     * @throws ContainerExceptionInterface
+     * @throws NotFoundExceptionInterface
      */
     public function putPatientInquiryOrderCancelPay(): ResponseInterface
     {
diff --git a/app/Controller/TestController.php b/app/Controller/TestController.php
index f373a73..dd1496a 100644
--- a/app/Controller/TestController.php
+++ b/app/Controller/TestController.php
@@ -32,7 +32,6 @@ use App\Services\UserDoctorService;
 use App\Utils\Log;
 use Extend\Alibaba\Oss;
 use Extend\Ca\Ca;
-use Extend\Ca\CaOffline;
 use Extend\Ca\CaOnline;
 use Extend\Kuaidi100\Kuaidi;
 use Extend\Prescription\Prescription;
@@ -46,22 +45,37 @@ use Imagick;
 use Intervention\Image\ImageManager;
 use Spatie\PdfToImage\Pdf;
 use Swoole\Coroutine;
+use Swoole\Coroutine\Channel;
 use Swoole\Coroutine\WaitGroup;
 use TCPDF;
 
 class TestController extends AbstractController
 {
     public function test(){
+//        $this->test_8();
+//        $this->test_3();
+//        $this->test_4();
+//        $this->test_6();
+//        $this->test_9();
+//        $this->test_10();
+//        $this->test_11();
+        $this->test_5();
+//        $this->test_1();
+//        $this->test_11();
+//        $this->test_12();
+//        $this->test_13();
+//        $this->test_14();
+//        $this->test_15();
     }
 
     // 获取云证书-首次
     public function test_1(){
-        $CaOffline = new CaOffline();
+        $ca = new Ca();
 //        // 测试医生
 //        $data = array();
 //        $data['user_id'] = "491925054435950592";
 //        $data['card_num'] = "410323199603261241";
-//        $result = $CaOffline->getCloudCert($data);
+//        $result = $ca->getCloudCert($data);
 //
 //        $data = array();
 //        $data['user_id'] = "491925054435950592";
@@ -78,7 +92,7 @@ class TestController extends AbstractController
 //        $data = array();
 //        $data['user_id'] = "534534546";
 //        $data['card_num'] = "410323199603261240";
-//        $result = $CaOffline->getCloudCert($data);
+//        $result = $ca->getCloudCert($data);
 //
 //        $data = array();
 //        $data['user_id'] = "534534546";
@@ -95,7 +109,7 @@ class TestController extends AbstractController
 //        $data = array();
 //        $data['user_id'] = "5345345461";
 //        $data['card_num'] = "91510106MABTJY4K9R";
-//        $result = $CaOffline->getCloudCert($data,"Organizational");
+//        $result = $ca->getCloudCert($data,"Organizational");
 //
 //        $data = array();
 //        $data['is_system'] = 1;
@@ -109,6 +123,430 @@ class TestController extends AbstractController
 //        }
     }
 
+    // 获取用户云证书数据-验证PKCS7签名
+    public function test_2(){
+        $ca = new Ca();
+
+        $params = array();
+        $params['user_id'] = "491925054435950592";
+        $params['type'] = 1;
+        $doctor_pharmacist_cert = UserCaCert::getOne($params);
+        if (empty($doctor_pharmacist_cert)){
+            return fail(HttpEnumCode::HTTP_ERROR,"用户数据错误");
+        }
+
+        // 获取云证书签名
+        $data = array();
+        $data['created_at'] = "2023-03-01 12:44:10";
+        $data['department_custom_name'] = "外科";
+        $data['user_name'] = "测试用户1";
+        $data['sex'] = "男";
+        $data['age'] = 19;
+        $data['allergy_history'] = "无";
+        $data['icd_name'] = "感冒";
+        $data['doctor_advice'] = "多吃药";
+        $data['product'] = [
+            [
+                "product_name" => "感冒药1（50ml*10）",
+                "single_unit" => "一次一包",
+                "frequency_use" => "1天3次",
+                "single_use" => "口服",
+                "prescription_product_num" => "X1盒",
+            ],
+            [
+                "product_name" => "感冒药2（50ml*10）",
+                "single_unit" => "一次一包",
+                "frequency_use" => "1天3次",
+                "single_use" => "口服",
+                "prescription_product_num" => "X1盒",
+            ],
+            [
+                "product_name" => "感冒药3（50ml*10）",
+                "single_unit" => "一次一包",
+                "frequency_use" => "1天3次",
+                "single_use" => "口服",
+                "prescription_product_num" => "X1盒",
+            ],
+            [
+                "product_name" => "感冒药4（50ml*10）",
+                "single_unit" => "一次一包",
+                "frequency_use" => "1天3次",
+                "single_use" => "口服",
+                "prescription_product_num" => "X1盒",
+            ],
+            [
+                "product_name" => "感冒药5（50ml*10）",
+                "single_unit" => "一次一包",
+                "frequency_use" => "1天3次",
+                "single_use" => "口服",
+                "prescription_product_num" => "X1盒",
+            ],
+        ];
+
+        $result = $ca->getCertSign("491925054435950592","491925054435950592",$data);
+
+        // 验证PKCS7签名-验证无需处理，只要不返回错误即可
+        $ca->verifyPkcs7($result['signP7'],$data);
+    }
+
+    // 添加签章配置（首次）
+    public function test_3(){
+        $CaOnline = new CaOnline();
+
+//        // 下载阿里云图片
+//        $oss = new Oss();
+//
+//        $filename = "applet/doctor/cert/f2abdb81-fac0-4264-bc11-aa2b6cf2761c.png";
+//
+//        $style = "image/resize,m_lfit,w_100,h_350";
+//
+//        $sign_image = $oss->getCusTomObjectToRAM($filename,$style);
+//        $sign_image = base64_encode($sign_image);
+//        if (!$sign_image){
+//            return fail(HttpEnumCode::SERVER_ERROR);
+//        }
+//
+//        $sign_param = [
+//            [
+//                "llx"=> "500", // 左边底部X坐标
+//                "lly"=>"3015", // 左边底部Y坐标
+//                "urx"=>"850", // 右边上部x坐标
+//                "ury"=>"3115", // 右边上部y坐标
+//                "pageList"=>[1],
+//                "sealImg"=>$sign_image
+//            ]
+//        ];
+//        $data = array();
+//        $data['sign_param'] = json_encode($sign_param);
+//        $data['seal_img'] = $sign_image;
+//
+//        $result = $ca->addUserSignConfig("491925054435950592","410323199603261241",$data);
+
+        // 下载阿里云图片
+        $oss = new Oss();
+
+        $filename = "applet/doctor/cert/f2abdb81-fac0-4264-bc11-aa2b6cf2761c.png";
+
+        $style = "image/resize,m_lfit,w_100,h_350";
+
+        $sign_image = $oss->getCusTomObjectToRAM($filename,$style);
+        $sign_image = base64_encode($sign_image);
+        if (!$sign_image){
+            return fail(HttpEnumCode::SERVER_ERROR);
+        }
+
+        $sign_param = [
+            [ // 医生端
+                "llx" => "120", // 左边底部X坐标
+                "lly" => "190", // 左边底部Y坐标
+                "urx" => "190", // 右边上部x坐标
+                "ury" => "140", // 右边上部y坐标
+                "pageList" => [1],
+                "sealImg" => $sign_image
+            ],
+        ];
+        $data = array();
+        $data['sign_param'] = json_encode($sign_param);
+        $data['seal_img'] = $sign_image;
+
+        $result = $CaOnline->addUserSignConfig("491925054435950592","130582199202032038",$data);
+    }
+
+    // 获取用户签章图片
+    public function test_4(){
+        $ca = new Ca();
+        $result = $ca->getFetchUserSeal("491925054435950592");
+        $data = urldecode($result[0]['sealImg']);
+        dump($data);
+    }
+
+    // 生成处方pdf图片
+    public function test_5(){
+        // 下载阿里云图片
+//        $oss = new Oss();
+//
+//        $filename = "basic/file/prescription.jpg";
+//        $sign_image = $oss->getObjectToRAM($filename);
+
+        $sign_image = fopen("./extend/Ca/prescription.jpg", 'r+');
+
+        $manager = new ImageManager();
+
+        $image = $manager->make($sign_image);
+
+        $fontPath = './extend/Ca/msyh.ttf';
+
+        // 处方号
+        $image->text('1234567890', 1480, 540, function ($font) use($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 日期
+        $image->text('2023-03-21', 354, 675, function ($font) use($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 科室
+        $image->text('测试科室1', 1385, 675, function ($font) use($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 姓名
+        $image->text('测试姓名', 354, 795, function ($font) use($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 性别
+        $image->text('男', 1385, 790, function ($font) use($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 年龄
+        $image->text('19', 354, 900, function ($font) use($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 过敏史
+        $image->text('对阿莫西林过敏对阿莫西林过敏', 405, 1030, function ($font) use($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 初步诊断
+        $image->text('对阿莫西林过敏对阿莫西林过敏', 445, 1145, function ($font) use($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 医生建议
+        $image->text('没有建议', 445, 1252, function ($font) use($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        $data = array();
+        $data['product'] = [
+            [
+                "product_name" => "感冒药1（50ml*10）",
+                "single_unit" => "一次一包",
+                "frequency_use" => "1天3次",
+                "single_use" => "口服",
+                "prescription_product_num" => "X1盒",
+            ],
+            [
+                "product_name" => "感冒药2（50ml*10）",
+                "single_unit" => "一次一包",
+                "frequency_use" => "1天3次",
+                "single_use" => "口服",
+                "prescription_product_num" => "X1盒",
+            ],
+            [
+                "product_name" => "感冒药3（50ml*10）",
+                "single_unit" => "一次一包",
+                "frequency_use" => "1天3次",
+                "single_use" => "口服",
+                "prescription_product_num" => "X1盒",
+            ],
+            [
+                "product_name" => "感冒药4（50ml*10）",
+                "single_unit" => "一次一包",
+                "frequency_use" => "1天3次",
+                "single_use" => "口服",
+                "prescription_product_num" => "X1盒",
+            ],
+            [
+                "product_name" => "感冒药5（50ml*10）",
+                "single_unit" => "一次一包",
+                "frequency_use" => "1天3次",
+                "single_use" => "口服",
+                "prescription_product_num" => "X1盒",
+            ],
+        ];
+
+        // 用药
+        foreach ($data['product'] as $key => $item){
+            if ($key <= 2){
+                $x_axis = 229;
+                $y_axis = 1600 + $key * 350;
+            }else{
+                $x_axis = 1240;
+                $y_axis = 1600 + ($key - 3) * 350;
+            }
+
+
+            $image->text($item['product_name'], $x_axis, $y_axis, function ($font) use($fontPath) {
+                $font->file($fontPath);
+                $font->size(50);
+                $font->align('left');
+            });
+
+            $image->text("用量：" . $item['single_unit'] . " " . $item['frequency_use'], $x_axis, $y_axis+90, function ($font) use($fontPath) {
+                $font->file($fontPath);
+                $font->size(50);
+                $font->align('left');
+            });
+
+            $image->text("用法：" . $item['single_use'], $x_axis, $y_axis+180, function ($font) use($fontPath) {
+                $font->file($fontPath);
+                $font->size(50);
+                $font->align('left');
+            });
+        }
+
+        // 将处理后的图片重新保存到其他路径
+//        $image->save('./runtime/2.jpg');
+
+        $result = (string) $image->encode('png', 75);
+
+        // 图片生成pdf
+        $pdf = new TCPDF('P', 'mm', 'A4', true, 'UTF-8', false);
+
+        $pdf->AddPage();
+        $pdf->Image('@' . $result, 10, 10, 0, 0, '', '', '', false, 300, '', false, false, 0, false, false, false);
+
+        $path = dirname(__DIR__, 2)  . "/file/prescription/";
+        $a = mkdirs($path);
+        if (!$a){
+            // 目录创建失败
+        }
+        $pdf->Output(dirname(__DIR__, 2)  . "/file/prescription/" .  "prescription_img.pdf","F");
+
+    }
+
+    // pdf进行签章
+    public function test_6(){
+        $pdf_file = fopen("./runtime/prescription.pdf",'r');
+
+        $oss = new Oss();
+
+        $filename = "applet/doctor/cert/f2abdb81-fac0-4264-bc11-aa2b6cf2761c.png";
+
+        $style = "image/resize,m_lfit,w_100,h_350";
+
+        $sign_image = $oss->getCusTomObjectToRAM($filename,$style);
+        $sign_image = base64_encode($sign_image);
+        if (!$sign_image){
+            return fail(HttpEnumCode::SERVER_ERROR);
+        }
+
+        $sign_param = [
+            [ // 医生端
+                "llx"=>"120", // 左边底部X坐标
+                "lly"=>"190", // 左边底部Y坐标
+                "urx"=>"190", // 右边上部x坐标
+                "ury"=>"140", // 右边上部y坐标
+                "pageList"=>[1],
+                "sealImg"=>$sign_image
+            ],
+//            [ // 药师端
+//                "llx"=>"350", // 左边底部X坐标
+//                "lly"=>"190", // 左边底部Y坐标
+//                "urx"=>"440", // 右边上部x坐标
+//                "ury"=>"140", // 右边上部y坐标
+//                "pageList"=>[1],
+//                "sealImg"=>$sign_image
+//            ]
+        ];
+        $data = array();
+        $data['sign_param'] = json_encode($sign_param);
+        $data['pdf_file'] = $pdf_file;
+
+        $ca = new Ca();
+        $result = $ca->addSignPdf("491925054435950592",$data);
+
+        $file_id = $result[0]['fileId'];
+
+        $result = $ca->getSignedFile("491925054435950592",$file_id);
+        if (empty($result)){
+            return fail();
+        }
+
+//        $file = fopen("./runtime/test.pdf", "w") or die("Unable to open file!");
+//        fwrite($file, $result);
+//        fclose($file);
+
+        // 上传阿里云oss
+
+        $oss = new Oss();
+
+        $filename = "applet/doctor/prescription/test.pdf";
+
+        $result = $oss->putObject($filename, $result);
+        dump($result);
+    }
+
+    // 延迟队列测试
+    public function test_7(){
+        $out_trade_no = $this->request->input('out_trade_no');
+        if ($out_trade_no == 1){
+            // 增加至取消订单延迟队列
+            $data = array();
+            $data['order_no'] = 111;
+            $data['order_type'] = 1;
+
+            $message = new CancelUnpayOrdersDelayDirectProducer($data);
+            $message->setDelayMs(1000 * 5 * 1);
+            $producer = $this->container->get(Producer::class);
+            $res = $producer->produce($message);
+            if (!$res) {
+                Db::rollBack();
+                return fail(HttpEnumCode::SERVER_ERROR, "订单创建失败");
+            }
+        }else{
+            // 增加至取消订单延迟队列
+            $data = array();
+            $data['order_no'] = 2222;
+            $data['order_type'] = 1;
+
+            $message = new CancelUnpayOrdersDelayDirectProducer($data);
+            $message->setDelayMs(1000 * 15 * 1);
+            $producer = $this->container->get(Producer::class);
+            $res = $producer->produce($message);
+            if (!$res) {
+                Db::rollBack();
+                return fail(HttpEnumCode::SERVER_ERROR, "订单创建失败");
+            }
+        }
+    }
+
+    // 删除签章配置
+    public function test_8(){
+        $ca = new Ca();
+        $result = $ca->deleteUserSignConfig("491925054435950592");
+    }
+
+    // 下载签章的pdf文件
+    public function test_9(){
+        $ca = new Ca();
+        $result = $ca->getSignedFile("5345345461","1642769369872105473");
+        if (empty($result)){
+            return fail();
+        }
+
+        // 上传阿里云oss
+
+        $oss = new Oss();
+
+        $filename = "applet/doctor/prescription/111.pdf";
+
+        $result = $oss->putObject($filename, $result);
+        dump($result);
+    }
 
     // 处方上报处方平台
     public function test_11(){
@@ -360,4 +798,47 @@ class TestController extends AbstractController
 //            return fail();
 //        }
     }
+
+    public function test_15(){
+        $wg = new \Hyperf\Utils\WaitGroup();
+        $channel = new Channel();
+        $wg->add(2);
+
+        co(function () use ($wg,$channel) {
+            defer(function() use ($wg) {
+                dump("执行了defer");
+                $wg->done();
+            });
+
+            dump("执行了协程1");
+        });
+
+        co(function () use ($wg,$channel) {
+            defer(function() use ($wg) {
+                dump("执行了defer");
+                $wg->done();
+            });
+
+            dump("执行了协程2");
+        });
+
+
+
+
+
+        $wg->wait();
+
+        $res = $channel->isEmpty();
+        if ($res){
+            dump("存在异常");
+        }
+
+        $res = $channel->close();
+        dump($res);
+
+        $a = $wg->count();
+        dump($a);
+
+        dump("执行完毕");
+    }
 }
\ No newline at end of file
diff --git a/app/Model/UserCaCert.php b/app/Model/UserCaCert.php
index d9186db..bca471a 100644
--- a/app/Model/UserCaCert.php
+++ b/app/Model/UserCaCert.php
@@ -18,6 +18,8 @@ use Hyperf\Snowflake\Concern\Snowflake;
  * @property string $cert_chain_p7 证书链
  * @property string $cert_serial_number 证书序列号
  * @property string $ca_pin ca认证pin值
+ * @property int $is_sign_config 是否已添加签章配置（第一次需申请）
+ * @property string $sign_config 签章坐标配置
  * @property \Carbon\Carbon $created_at 创建时间
  * @property \Carbon\Carbon $updated_at 修改时间
  */
@@ -33,7 +35,7 @@ class UserCaCert extends Model
     /**
      * The attributes that are mass assignable.
      */
-    protected array $fillable = ['cert_id', 'user_id', 'is_system', 'type', 'cert_base64', 'cert_chain_p7', 'cert_serial_number', 'ca_pin', 'created_at', 'updated_at'];
+    protected array $fillable = ['cert_id', 'user_id', 'is_system', 'type', 'cert_base64', 'cert_chain_p7', 'cert_serial_number', 'ca_pin', 'is_sign_config', 'sign_config', 'created_at', 'updated_at'];
 
     protected string $primaryKey = "cert_id";
 
diff --git a/app/Services/CaService.php b/app/Services/CaService.php
new file mode 100644
index 0000000..39d3f3a
--- /dev/null
+++ b/app/Services/CaService.php
@@ -0,0 +1,511 @@
+<?php
+
+namespace App\Services;
+
+use App\Exception\BusinessException;
+use App\Model\HospitalDepartmentCustom;
+use App\Model\OrderInquiryCase;
+use App\Model\OrderPrescriptionIcd;
+use App\Model\OrderPrescriptionProduct;
+use App\Model\UserDoctor;
+use App\Model\UserDoctorInfo;
+use App\Model\UserPharmacistInfo;
+use Extend\Alibaba\Oss;
+use Extend\Ca\CaOnline;
+use Hyperf\Utils\WaitGroup;
+use Intervention\Image\ImageManager;
+use Swoole\Coroutine\Channel;
+use TCPDF;
+
+/**
+ * CA平台
+ */
+class CaService extends BaseService
+{
+    // 疾病名称
+    protected string $icd_name;
+
+    // 处方关联商品
+    protected array $order_prescription_product;
+
+    // 获取医生自定义科室名称
+    protected string $department_name;
+
+    // 过敏史
+    protected string $allergy_history;
+
+    // 用户签名图片地址
+    public string $sign_image_path;
+
+    // 医院签名图片地址
+    protected string $hospital_sign_image_path;
+
+    // 用户唯一标识
+    protected string $user_entity_id;
+
+    // 医院唯一标识
+    protected string $hospital_entity_id;
+
+    /**
+     * 初始化类，此处会获取基础数据
+     * @param array|object $order_prescription 处方表数据
+     * @param array|object $user 用户表数据
+     */
+    public function __construct(array|object $order_prescription,array|object $user){
+        // 获取用户、医院签名图片地址、用户标识信息
+        $params = array();
+        $params['user_id'] = $user['user_id'];
+        if ($user['user_type'] == 2) {
+            $user_doctor_info = UserDoctorInfo::getOne($params);
+            if (empty($user_doctor_info)) {
+                throw new BusinessException("用户数据错误");
+            }
+
+            $user_sign_image_path = $user_doctor_info['sign_image'];
+            $this->user_entity_id = "491925054435950592";
+        } else {
+            $user_pharmacist_info = UserPharmacistInfo::getOne($params);
+            if (empty($user_pharmacist_info)) {
+                throw new BusinessException("用户数据错误");
+            }
+
+            $user_sign_image_path = $user_pharmacist_info['sign_image'];
+            $this->user_entity_id = $user['user_id'];
+
+            $this->hospital_sign_image_path = "basic/file/hospital_signature.png";
+            $this->hospital_entity_id = "5345345461";
+        }
+
+        if (empty($user_sign_image_path) || empty($user_entity_id)) {
+            throw new BusinessException("无签名图片/用户唯一标识");
+        }
+
+        // 去除用户签名图片第一个/ oss不识别
+        $this->sign_image_path = substr($user_sign_image_path, 1, strlen($user_sign_image_path) - 1);
+
+        $order_prescription_id = $order_prescription['order_prescription_id'];
+
+        // 创建协程客户端
+        $wg = new WaitGroup();
+
+        // 创建通道
+        $channel = new Channel();
+
+        $wg->add(4);
+
+        // 获取处方关联疾病名称
+        co(function () use ($wg,$channel,&$icd_name,$order_prescription_id) {
+            defer(function() use ($wg) {
+                $wg->done();
+            });
+
+            $params = array();
+            $params['order_prescription_id'] = $order_prescription_id;
+            $order_prescription_icd = OrderPrescriptionIcd::getList($params);
+            if (empty($order_prescription_icd)) {
+                $channel->push('处方疾病数据错误');
+                return;
+            }
+
+            $icd_name = array_column($order_prescription_icd->toArray(), 'icd_name');
+            if (!empty($icd_name)) {
+                if (count($icd_name) > 1) {
+                    $this->icd_name = implode(';', $icd_name);
+                } else {
+                    $this->icd_name = $icd_name[0];
+                }
+            }
+        });
+
+        // 获取处方关联商品数据
+        co(function () use ($wg,$channel,$order_prescription_id) {
+            defer(function() use ($wg) {
+                $wg->done();
+            });
+
+            $params = array();
+            $params['order_prescription_id'] = $order_prescription_id;
+            $order_prescription_product = OrderPrescriptionProduct::getList($params);
+            if (empty($order_prescription_product)) {
+                $channel->push('处方药品数据错误');
+                return;
+            }
+
+            $this->order_prescription_product = $order_prescription_product->toArray();
+        });
+
+        // 获取医生自定义科室数据
+        $doctor_id = $order_prescription['doctor_id'];
+        co(function () use ($wg,$channel,&$hospital_department_custom,$doctor_id) {
+            defer(function() use ($wg) {
+                $wg->done();
+            });
+
+            // 获取医生数据
+            $params = array();
+            $params['doctor_id'] = $doctor_id;
+            $user_doctor = UserDoctor::getOne($params);
+            if (empty($user_doctor)) {
+                $channel->push('医生数据错误');
+                return;
+            }
+
+            // 获取医生自定义科室数据
+            $params = array();
+            $params['department_custom_id'] = $user_doctor['department_custom_id'];
+            $hospital_department_custom = HospitalDepartmentCustom::getOne($params);
+            if (empty($hospital_department_custom)) {
+                $channel->push('医生自定义数据错误');
+                return;
+            }
+
+            $this->department_name = $hospital_department_custom['department_name'] ?: "";
+        });
+
+        // 获取处方关联病例数据
+        $order_inquiry_id = $order_prescription['order_inquiry_id'];
+        co(function () use ($wg,$channel,&$order_inquiry_case,$order_inquiry_id) {
+            defer(function() use ($wg) {
+                $wg->done();
+            });
+
+            $params = array();
+            $params['order_inquiry_id'] = $order_inquiry_id;
+            $order_inquiry_case = OrderInquiryCase::getOne($params);
+            if (empty($order_inquiry_case)) {
+                $channel->push('处方病例数据错误');
+                return;
+            }
+
+            $this->allergy_history = $order_inquiry_case['allergy_history'] ?: "无";
+        });
+
+        // 结束
+        $wg->wait();
+
+        // 判断通道是否存在异常数据
+        $res = $channel->isEmpty();
+        if ($res){
+            // 读取通道数据
+            $data = $channel->pop();
+
+            // 关闭channel通道
+            $channel->close();
+
+            throw new BusinessException($data);
+        }else{
+            // 关闭channel通道
+            $channel->close();
+        }
+
+        $this->icd_name = $icd_name;
+    }
+
+    /**
+     * 获取云证书签名+验证云证书签名
+     * @param array|object $order_prescription
+     * @param int $type 类型 1：用户 2：医院
+     */
+    public function getVerifyCertSign(array|object $order_prescription,int $type)
+    {
+        $CaOnline = new CaOnline();
+
+        // 获取云证书签名
+        $data = array();
+        $data['created_at'] = $order_prescription['doctor_created_time'];
+        $data['department_custom_name'] = $this->department_name;
+        $data['user_name'] = $order_prescription['patient_name'];
+        $data['sex'] = sexToStringSex($order_prescription['patient_sex']);
+        $data['age'] = $order_prescription['patient_age'];
+        $data['allergy_history'] = $this->allergy_history;
+        $data['icd_name'] = $this->icd_name;
+        $data['doctor_advice'] = $order_prescription['doctor_advice'] ?: "无";
+
+        // 商品数据
+        $data['product'] = array();
+        foreach ($this->order_prescription_product as $item) {
+            $product = array();
+            $product['product_name'] = $item['product_name'] . "(" . $item['product_spec'] . ")"; // 商品名称+商品规格
+            $product['single_unit'] = $item['single_unit'] ?: ""; // 单次剂量（例：1次1包）
+            $product['frequency_use'] = $item['frequency_use'] ?: ""; // 使用频率(例：1天3次)
+            $product['single_use'] = $item['single_use'] ?: ""; // 单次用法（例：口服）
+            $product['prescription_product_num'] = $item['prescription_product_num'] . $item['packaging_unit']; // 商品数量 + 基本包装单位(例：盒/瓶)
+            $data['product'][] = $product;
+        }
+
+        if ($type == 1){
+            // 用户
+            $cert_sign_result = $CaOnline->getCertSign($this->user_entity_id, $this->user_entity_id, $data);
+        }else{
+            // 医院
+            $cert_sign_result = $CaOnline->getCertSign($this->hospital_entity_id, $this->hospital_entity_id, $data);
+        }
+
+        // 验证云证书签名 验证无需处理，只要不返回错误即可
+        $CaOnline->verifyPkcs7($cert_sign_result['signP7'], $data);
+    }
+
+    /**
+     * 生成处方图片+处方图片生成pdf
+     * @param array|object $order_prescription
+     * @return string
+     */
+    public function createPrescriptionImgPdf(array|object $order_prescription): string
+    {
+        // 打开基础处方图片
+        $prescription_image = fopen("./extend/Ca/prescription.jpg", 'r+');
+
+        $manager = new ImageManager();
+
+        $image = $manager->make($prescription_image);
+
+        $fontPath = './extend/Ca/msyh.ttf';
+
+        // 处方号
+        $image->text($order_prescription['prescription_code'], 1480, 540, function ($font) use ($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 日期
+        $image->text(date('Y-m-d', strtotime($order_prescription['doctor_created_time'])), 354, 675, function ($font) use ($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 科室
+        $image->text($this->department_name ?: "", 1385, 675, function ($font) use ($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 姓名
+        $image->text($order_prescription['patient_name'], 354, 795, function ($font) use ($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 性别
+        $image->text(sexToStringSex($order_prescription['patient_sex']), 1385, 790, function ($font) use ($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 年龄
+        $image->text($order_prescription['patient_age'], 354, 900, function ($font) use ($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 过敏史
+        $image->text($this->allergy_history ?: "无", 405, 1030, function ($font) use ($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 初步诊断
+        $image->text($this->icd_name, 445, 1145, function ($font) use ($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 医生建议
+        $image->text($order_prescription['doctor_advice'], 445, 1252, function ($font) use ($fontPath) {
+            $font->file($fontPath);
+            $font->size(60);
+            $font->align('left');
+        });
+
+        // 商品数据
+        foreach ($this->order_prescription_product as $key => $item) {
+            $x_axis = 229;
+            $y_axis = 1600 + $key * 250;
+            $x_axis_num = 1900;// 数量使用
+
+            // 商品名称
+            $image->text($item['product_name'], $x_axis, $y_axis, function ($font) use ($fontPath) {
+                $font->file($fontPath);
+                $font->size(50);
+                $font->align('left');
+            });
+
+            $image->text("X" . $item['prescription_product_num'] . $item['packaging_unit'], $x_axis_num, $y_axis, function ($font) use ($fontPath) {
+                $font->file($fontPath);
+                $font->size(50);
+                $font->align('left');
+            });
+
+            // 用量
+            $image->text("用量：" . $item['single_unit'] . " " . $item['frequency_use'], $x_axis, $y_axis + 70, function ($font) use ($fontPath) {
+                $font->file($fontPath);
+                $font->size(50);
+                $font->align('left');
+            });
+
+            // 用法
+            $image->text("用法：" . $item['single_use'], $x_axis, $y_axis + 140, function ($font) use ($fontPath) {
+                $font->file($fontPath);
+                $font->size(50);
+                $font->align('left');
+            });
+        }
+
+        // 生成图片
+        $img_result = (string)$image->encode('png', 75);
+
+        // 上传处方图片至oss
+        $oss = new Oss();
+        $prescription_img_oss_filename = "applet/prescription/" . $order_prescription['order_prescription_id'] . '.' . 'jpg';
+        $prescription_img_url = $oss->putObject($prescription_img_oss_filename, $img_result);
+        $prescription_img_url = '/' . $prescription_img_url;
+
+        // 图片生成pdf
+        $pdf = new TCPDF('P', 'mm', 'A4', true, 'UTF-8', false);
+
+        $pdf->AddPage();
+        $pdf->Image('@' . $img_result, 10, 10, 0, 0, '', '', '', false, 300, '', false, false, 0, false, false, false);
+
+        $prescription_pdf_local_filename = $order_prescription['order_prescription_id'] . '.' . 'pdf';
+        $prescription_pdf_local_path = dirname(__DIR__, 2) . "/file/prescription/";
+
+        $res = mkdirs($prescription_pdf_local_path);
+        if (!$res){
+            throw new BusinessException("处方临时目录创建失败");
+        }
+
+        // 图片生成的处方pdf存储为本地文件 runtime目录下
+        $pdf->Output($prescription_pdf_local_path . $prescription_pdf_local_filename, "F");
+
+        return $prescription_img_url;
+    }
+
+    /**
+     * 下载医生开具的处方pdf
+     * 存在：当次发版内医生开具后，药师再去开具
+     * 不存在：医生开具后，进行发版过,此时需重新下载
+     * @param array|object $order_prescription
+     * @return void
+     */
+    public function downDoctorPrescriptionPdf(array|object $order_prescription): void
+    {
+        $local_path = "./runtime/file/prescription/" . $order_prescription['order_prescription_id'] . '.' . 'pdf';
+        $res = file_exists($local_path);
+        if (!$res){
+            // 去除第一个/ oss不识别
+            $prescription_pdf_path = substr($order_prescription['prescription_pdf'], 1, strlen($order_prescription['prescription_pdf']) - 1);
+
+            $oss = new Oss();
+            $oss->getObjectToLocal($prescription_pdf_path, $local_path);
+        }
+    }
+
+    /**
+     * 进行处方pdf签章
+     * @param array|object $order_prescription
+     * @param string $type 类型 1：医院 2：医生 3：药师
+     * @return string 文件id
+     */
+    public function addSignPdf(array|object $order_prescription,string $type): string
+    {
+        // 下载签名图片
+        if ($type == 1){
+            $local_path = "./extend/Ca/hospital_signature.png";
+            $res = file_exists($local_path);
+            if ($res){
+                // 读取本地文件
+                $sign_image = fopen($local_path,'r');
+            }
+        }
+
+        if (!isset($sign_image)){
+            $oss = new Oss();
+
+            if ($type == 1){
+                $style = "image/resize,w_300,h_300";
+                $sign_image = $oss->getCusTomObjectToRAM($this->hospital_sign_image_path, $style);
+            }else{
+                $style = "image/resize,m_lfit,w_100,h_350";
+                $sign_image = $oss->getCusTomObjectToRAM($this->sign_image_path, $style);
+            }
+        }
+
+        $sign_image = base64_encode($sign_image);
+        if (!$sign_image) {
+            throw new BusinessException("签名图片下载失败");
+        }
+
+        if ($type == 1){
+            // 医院
+            $llx = "370"; // 左边底部X坐标 控制左右（越小越左）
+            $lly = "210"; // 左边底部Y坐标 控制上下（越小越下）
+            $urx = "520"; // 右边上部x坐标
+            $ury = "360"; // 右边上部y坐标
+        } elseif ($type == 2){
+            // 医生端
+            $llx = "120"; // 左边底部X坐标
+            $lly = "190"; // 左边底部Y坐标
+            $urx = "190"; // 右边上部x坐标
+            $ury = "140"; // 右边上部y坐标
+        }else{
+            // 药师端
+            $llx = "350"; // 左边底部X坐标
+            $lly = "190"; // 左边底部Y坐标
+            $urx = "440"; // 右边上部x坐标
+            $ury = "140"; // 右边上部y坐标
+        }
+
+        $sign_param = [
+            [
+                "llx" => $llx, // 左边底部X坐标
+                "lly" => $lly, // 左边底部Y坐标
+                "urx" => $urx, // 右边上部x坐标
+                "ury" => $ury, // 右边上部y坐标
+                "pageList" => [1],
+                "sealImg" => $sign_image
+            ],
+        ];
+
+        // 打开处方pdf文件
+        $pdf_file = fopen("./runtime/" . $order_prescription['order_prescription_id'] . ".pdf", 'r');
+        if (!$pdf_file) {
+            throw new BusinessException("处方图片打开失败");
+        }
+
+        $CaOnline = new CaOnline();
+
+        // 处方pdf进行签章
+        $data = array();
+        $data['sign_param'] = json_encode($sign_param);
+        $data['pdf_file'] = $pdf_file;
+        $sign_pdf_result = $CaOnline->addSignPdf($this->user_entity_id, $data);
+        if (empty($sign_pdf_result[0]['fileId'])) {
+            throw new BusinessException("处方签章失败");
+        }
+
+        return $sign_pdf_result[0]['fileId'];
+    }
+
+    /**
+     * 下载签章pdf图片
+     * @param string $file_id
+     * @param string $order_prescription_id
+     * @return void
+     */
+    public function downCaPdf(string $file_id,string $order_prescription_id): void
+    {
+        $CaOnline = new CaOnline();
+        $prescription_pdf_result = $CaOnline->getSignedFile($this->user_entity_id, $file_id);
+
+        $file = fopen("./runtime/file/prescription/" . $order_prescription_id . '.pdf', "w");
+        fwrite($file, $prescription_pdf_result);
+        fclose($file);
+    }
+}
\ No newline at end of file
diff --git a/app/Services/OrderPrescriptionService.php b/app/Services/OrderPrescriptionService.php
index 533057a..fef9a4b 100644
--- a/app/Services/OrderPrescriptionService.php
+++ b/app/Services/OrderPrescriptionService.php
@@ -29,6 +29,7 @@ use Extend\Prescription\Prescription;
 use Hyperf\Contract\LengthAwarePaginatorInterface;
 use Hyperf\Utils\WaitGroup;
 use Intervention\Image\ImageManager;
+use Swoole\Coroutine\Channel;
 use TCPDF;
 
 class OrderPrescriptionService extends BaseService
@@ -144,37 +145,6 @@ class OrderPrescriptionService extends BaseService
                 throw new BusinessException("用户类型错误");
             }
 
-            // 获取用户info数据
-            $params = array();
-            $params['user_id'] = $user['user_id'];
-            if ($user['user_type'] == 2) {
-                $user_doctor_info = UserDoctorInfo::getOne($params);
-                if (empty($user_doctor_info)) {
-                    throw new BusinessException("用户数据错误");
-                }
-
-                $user_sign_image_path = $user_doctor_info['sign_image'];
-                $user_entity_id = "491925054435950592";
-            } else {
-                $user_pharmacist_info = UserPharmacistInfo::getOne($params);
-                if (empty($user_pharmacist_info)) {
-                    throw new BusinessException("用户数据错误");
-                }
-
-                $user_sign_image_path = $user_pharmacist_info['sign_image'];
-                $user_entity_id = $user['user_id'];
-
-                $hospital_sign_image_path = "basic/file/hospital_signature.png";
-                $hospital_entity_id = "5345345461";
-            }
-
-            if (empty($user_sign_image_path) || empty($user_entity_id)) {
-                throw new BusinessException("无签名图片/用户唯一标识");
-            }
-
-            // 去除第一个/ oss不识别
-            $sign_image_path = substr($user_sign_image_path, 1, strlen($user_sign_image_path) - 1);
-
             // 获取处方数据
             $params = array();
             $params['order_prescription_id'] = $order_prescription_id;
@@ -192,380 +162,77 @@ class OrderPrescriptionService extends BaseService
                 throw new BusinessException("处方图片错误");
             }
 
-            // 获取处方关联疾病数据
-            $params = array();
-            $params['order_prescription_id'] = $order_prescription_id;
-            $order_prescription_icd = OrderPrescriptionIcd::getList($params);
-            if (empty($order_prescription_icd)) {
-                throw new BusinessException("处方疾病数据错误");
-            }
+            $CaService = new CaService($order_prescription,$user);
 
-            // 获取处方关联商品数据
-            $params = array();
-            $params['order_prescription_id'] = $order_prescription_id;
-            $order_prescription_product = OrderPrescriptionProduct::getList($params);
-            if (empty($order_prescription_product)) {
-                throw new BusinessException("处方药品数据错误");
-            }
+            // 获取云证书签名+验证云证书签名
+            $CaService->getVerifyCertSign($order_prescription,1);
 
-            // 获取医生数据
-            $params = array();
-            $params['doctor_id'] = $order_prescription['doctor_id'];
-            $user_doctor = UserDoctor::getOne($params);
-            if (empty($user_doctor)) {
-                throw new BusinessException("医生数据错误");
-            }
-
-            // 获取医生自定义科室数据
-            $params = array();
-            $params['department_custom_id'] = $user_doctor['department_custom_id'];
-            $hospital_department_custom = HospitalDepartmentCustom::getOne($params);
-            if (empty($hospital_department_custom)) {
-                throw new BusinessException("医生自定义数据错误");
-            }
-
-            // 获取处方关联病例数据
-            $params = array();
-            $params['order_inquiry_id'] = $order_prescription['order_inquiry_id'];
-            $order_inquiry_case = OrderInquiryCase::getOne($params);
-            if (empty($order_inquiry_case)) {
-                throw new BusinessException("处方病例数据错误");
-            }
-
-            // 处理疾病数据
-            $icd_name = array_column($order_prescription_icd->toArray(), 'icd_name');
-            if (!empty($icd_name)) {
-                if (count($icd_name) > 1) {
-                    $icd_name = implode(';', $icd_name);
-                } else {
-                    $icd_name = $icd_name[0];
-                }
-            } else {
-                $icd_name = "";
-            }
-
-            $CaOnline = new CaOnline();
-
-            // 获取云证书签名
-            $data = array();
-            $data['created_at'] = $order_prescription['doctor_created_time'];
-            $data['department_custom_name'] = $hospital_department_custom['department_name'] ?: "";
-            $data['user_name'] = $order_prescription['patient_name'];
-            $data['sex'] = sexToStringSex($order_prescription['patient_sex']);
-            $data['age'] = $order_prescription['patient_age'];
-            $data['allergy_history'] = $order_inquiry_case['allergy_history'] ?: "无";
-            $data['icd_name'] = $icd_name;
-            $data['doctor_advice'] = $order_prescription['doctor_advice'] ?: "无";
-
-            // 商品数据
-            $data['product'] = array();
-            foreach ($order_prescription_product as $item) {
-                $product = array();
-                $product['product_name'] = $item['product_name'] . "(" . $item['product_spec'] . ")"; // 商品名称+商品规格
-                $product['single_unit'] = $item['single_unit'] ?: ""; // 单次剂量（例：1次1包）
-                $product['frequency_use'] = $item['frequency_use'] ?: ""; // 使用频率(例：1天3次)
-                $product['single_use'] = $item['single_use'] ?: ""; // 单次用法（例：口服）
-                $product['prescription_product_num'] = $item['prescription_product_num'] . $item['packaging_unit']; // 商品数量 + 基本包装单位(例：盒/瓶)
-                $data['product'][] = $product;
-            }
-
-            dump("获取用户云证书签名");
-            $cert_sign_result = $CaOnline->getCertSign($user_entity_id, $user_entity_id, $data);
-            dump("获取用户云证书签名成功");
-
-            // 验证云证书签名-验证无需处理，只要不返回错误即可
-            dump("验证用户云证书签名");
-            $CaOnline->verifyPkcs7($cert_sign_result['signP7'], $data);
-            dump("验证用户云证书签名成功");
-
-            if ($user['user_type'] == 3) {
-                dump("获取医院云证书签名");
-                unset($cert_sign_result);
-                $cert_sign_result = $CaOnline->getCertSign($hospital_entity_id, $hospital_entity_id, $data);
-                dump("获取医院云证书签名成功");
-
-                // 验证云证书签名-验证无需处理，只要不返回错误即可
-                dump("验证医院云证书签名");
-                $CaOnline->verifyPkcs7($cert_sign_result['signP7'], $data);
-                dump("验证医院云证书签名成功");
-            }
-
-            $oss = new Oss();
             // 医生
             if ($user['user_type'] == 2) {
-                // 下载基础处方图片
-                $prescription_basic_filename = "basic/file/prescription.jpg";
-                $prescription_image = $oss->getObjectToRAM($prescription_basic_filename);
-
-                dump("下载基础处方图片成功");
-
-                $manager = new ImageManager();
-
-                $image = $manager->make($prescription_image);
-
-                $fontPath = './extend/Ca/msyh.ttf';
-
-                // 处方号
-                $image->text($order_prescription['prescription_code'], 1480, 540, function ($font) use ($fontPath) {
-                    $font->file($fontPath);
-                    $font->size(60);
-                    $font->align('left');
-                });
-
-                // 日期
-                $image->text(date('Y-m-d', strtotime($order_prescription['doctor_created_time'])), 354, 675, function ($font) use ($fontPath) {
-                    $font->file($fontPath);
-                    $font->size(60);
-                    $font->align('left');
-                });
-
-                // 科室
-                $image->text($hospital_department_custom['department_name'] ?: "", 1385, 675, function ($font) use ($fontPath) {
-                    $font->file($fontPath);
-                    $font->size(60);
-                    $font->align('left');
-                });
-
-                // 姓名
-                $image->text($order_prescription['patient_name'], 354, 795, function ($font) use ($fontPath) {
-                    $font->file($fontPath);
-                    $font->size(60);
-                    $font->align('left');
-                });
-
-                // 性别
-                $image->text(sexToStringSex($order_prescription['patient_sex']), 1385, 790, function ($font) use ($fontPath) {
-                    $font->file($fontPath);
-                    $font->size(60);
-                    $font->align('left');
-                });
-
-                // 年龄
-                $image->text($order_prescription['patient_age'], 354, 900, function ($font) use ($fontPath) {
-                    $font->file($fontPath);
-                    $font->size(60);
-                    $font->align('left');
-                });
-
-                // 过敏史
-                $image->text($order_inquiry_case['allergy_history'] ?: "无", 405, 1030, function ($font) use ($fontPath) {
-                    $font->file($fontPath);
-                    $font->size(60);
-                    $font->align('left');
-                });
-
-                // 初步诊断
-                $image->text($icd_name, 445, 1145, function ($font) use ($fontPath) {
-                    $font->file($fontPath);
-                    $font->size(60);
-                    $font->align('left');
-                });
-
-                // 医生建议
-                $image->text($order_prescription['doctor_advice'] ?: "无", 445, 1252, function ($font) use ($fontPath) {
-                    $font->file($fontPath);
-                    $font->size(60);
-                    $font->align('left');
-                });
-
-                // 商品数据
-                foreach ($order_prescription_product as $key => $item) {
-                    $x_axis = 229;
-                    $y_axis = 1600 + $key * 250;
-                    $x_axis_num = 1900;// 数量使用
-
-                    // 商品名称
-                    $image->text($item['product_name'], $x_axis, $y_axis, function ($font) use ($fontPath) {
-                        $font->file($fontPath);
-                        $font->size(50);
-                        $font->align('left');
-                    });
-
-                    $image->text("X" . $item['prescription_product_num'] . $item['packaging_unit'], $x_axis_num, $y_axis, function ($font) use ($fontPath) {
-                        $font->file($fontPath);
-                        $font->size(50);
-                        $font->align('left');
-                    });
-
-                    // 用量
-                    $image->text("用量：" . $item['single_unit'] . " " . $item['frequency_use'], $x_axis, $y_axis + 70, function ($font) use ($fontPath) {
-                        $font->file($fontPath);
-                        $font->size(50);
-                        $font->align('left');
-                    });
-
-                    // 用法
-                    $image->text("用法：" . $item['single_use'], $x_axis, $y_axis + 140, function ($font) use ($fontPath) {
-                        $font->file($fontPath);
-                        $font->size(50);
-                        $font->align('left');
-                    });
-                }
-
-                // 生成图片
-                $img_result = (string)$image->encode('png', 75);
-                dump("处方图片生成成功");
-
-                // 上传处方图片至oss
-                $prescription_img_oss_filename = "applet/prescription/" . $order_prescription['order_prescription_id'] . '.' . 'jpg';
-                $prescription_img_url = $oss->putObject($prescription_img_oss_filename, $img_result);
-                $prescription_img_url = '/' . $prescription_img_url;
-                dump("处方图片上传oss成功");
-
-                // 图片生成pdf
-                $pdf = new TCPDF('P', 'mm', 'A4', true, 'UTF-8', false);
-
-                $pdf->AddPage();
-                $pdf->Image('@' . $img_result, 10, 10, 0, 0, '', '', '', false, 300, '', false, false, 0, false, false, false);
-
-                $prescription_pdf_local_filename = $order_prescription['order_prescription_id'] . '.' . 'pdf';
-
-                // 图片生成的处方pdf存储为本地文件
-                $pdf->Output(dirname(__DIR__, 2) . "/" . $prescription_pdf_local_filename, "F");
-
-                dump("处方图片生成pdf成功");
+                // 生成处方图片+处方图片生成pdf
+                $prescription_img_url = $CaService->createPrescriptionImgPdf($order_prescription);
             }
 
             // 药师
             if ($user['user_type'] == 3) {
+                // 获取医院云证书签名+验证云证书签名
+                $CaService->getVerifyCertSign($order_prescription,2);
+
                 // 下载医生开具的处方pdf
-                // 去除第一个/ oss不识别
-                $prescription_pdf_path = substr($order_prescription['prescription_pdf'], 1, strlen($order_prescription['prescription_pdf']) - 1);
-
-                $local = "./runtime/" . $order_prescription['order_prescription_id'] . '.' . 'pdf';
-
-                $oss->getObjectToLocal($prescription_pdf_path, $local);
-                dump("下载医生开具的处方pdf成功");
+                $CaService->downDoctorPrescriptionPdf($order_prescription);
             }
 
-            // 下载签名图片
-            $style = "image/resize,m_lfit,w_100,h_350";
-            $sign_image = $oss->getCusTomObjectToRAM($sign_image_path, $style);
-            $sign_image = base64_encode($sign_image);
-            if (!$sign_image) {
-                throw new BusinessException("签名图片下载失败");
-            }
+            // 进行处方pdf签章
+            $file_id = $CaService->addSignPdf($order_prescription,$user['user_type']);
 
-            dump("下载签名图片成功");
-
-            if ($user['user_type'] == 2) {
-                $sign_param = [
-                    [ // 医生端
-                        "llx" => "120", // 左边底部X坐标
-                        "lly" => "190", // 左边底部Y坐标
-                        "urx" => "190", // 右边上部x坐标
-                        "ury" => "140", // 右边上部y坐标
-                        "pageList" => [1],
-                        "sealImg" => $sign_image
-                    ],
-                ];
-            } else {
-                $sign_param = [
-                    [ // 药师端
-                        "llx" => "350", // 左边底部X坐标
-                        "lly" => "190", // 左边底部Y坐标
-                        "urx" => "440", // 右边上部x坐标
-                        "ury" => "140", // 右边上部y坐标
-                        "pageList" => [1],
-                        "sealImg" => $sign_image
-                    ]
-                ];
-            }
-
-            // 打开处方pdf文件
-            $pdf_file = fopen("./runtime/" . $order_prescription['order_prescription_id'] . ".pdf", 'r');
-            if (!$pdf_file) {
-                throw new BusinessException("处方图片打开失败");
-            }
-
-
-            // 处方pdf进行签章
-            $data = array();
-            $data['sign_param'] = json_encode($sign_param);
-            $data['pdf_file'] = $pdf_file;
-            $sign_pdf_result = $CaOnline->addSignPdf($user_entity_id, $data);
-            if (empty($sign_pdf_result[0]['fileId'])) {
-                throw new BusinessException("处方签章失败");
-            }
-
-            dump("处方pdf进行签章成功");
-
-            // 下载处方签章文件
-            $file_id = $sign_pdf_result[0]['fileId'];
-            $prescription_pdf_result = $CaOnline->getSignedFile($user_entity_id, $file_id);
-
-            if (empty($prescription_pdf_result)) {
-                throw new BusinessException("下载处方签章文件失败");
-            }
-
-            dump("下载处方签章文件成功");
-
-            // 上传oss
-            $filename = "applet/prescription/" . $order_prescription['order_prescription_id'] . '.' . 'pdf';
-            $prescription_pdf_url = $oss->putObject($filename, $prescription_pdf_result);
-            dump("处方pdf上传pss成功");
+//            // 增加队列处理、自动下载处方签章文件并上传oss
+//            // 未存在file_id时，药师审核列表无法看到、自动审核不处理
+//
+//
+//            // 下载处方签章文件
+//            $prescription_pdf_result = $CaOnline->getSignedFile($user_entity_id, $file_id);
+//
+//            if (empty($prescription_pdf_result)) {
+//                throw new BusinessException("下载处方签章文件失败");
+//            }
+//
+//            dump("下载处方签章文件成功");
+//
+//            // 上传oss
+//            $filename = "applet/prescription/" . $order_prescription['order_prescription_id'] . '.' . 'pdf';
+//            $prescription_pdf_url = $oss->putObject($filename, $prescription_pdf_result);
+//            dump("处方pdf上传pss成功");
 
             if ($user['user_type'] == 3) {
                 // 药师端时，需要进行系统签章
                 // 把药师签章的pdf存储至本地文件
-                $file = fopen("./runtime/" . $order_prescription['order_prescription_id'] . '.' . 'pdf', "w");
-                fwrite($file, $prescription_pdf_result);
-                fclose($file);
+                // 下载药师签章pdf图片
+               $CaService->downCaPdf($file_id,$order_prescription['order_prescription_id']);
 
-                // 下载医院签名图片
-                $style = "image/resize,w_300,h_300";
-                $sign_image = $oss->getCusTomObjectToRAM($hospital_sign_image_path, $style);
-                $sign_image = base64_encode($sign_image);
-                if (!$sign_image) {
-                    throw new BusinessException("医院签名图片下载失败");
-                }
+                // 进行处方pdf签章
+                $file_id = $CaService->addSignPdf($order_prescription,$user['user_type']);
 
-                $sign_param = [
-                    [ // 医院签章
-                        "llx" => "370", // 左边底部X坐标 控制左右（越小越左）
-                        "lly" => "210", // 左边底部Y坐标 控制上下（越小越下）
-                        "urx" => "520", // 右边上部x坐标
-                        "ury" => "360", // 右边上部y坐标
-                        "pageList" => [1],
-                        "sealImg" => $sign_image
-                    ],
-                ];
-
-                // 打开处方pdf文件
-                unset($pdf_file);
-                $pdf_file = fopen("./runtime/" . $order_prescription['order_prescription_id'] . ".pdf", 'r');
-
-                // 处方pdf进行签章
-                $data = array();
-                $data['sign_param'] = json_encode($sign_param);
-                $data['pdf_file'] = $pdf_file;
-                $hospital_sign_pdf_result = $CaOnline->addSignPdf($hospital_entity_id, $data);
-                if (empty($hospital_sign_pdf_result[0]['fileId'])) {
-                    throw new BusinessException("处方签章失败");
-                }
-
-                dump("处方pdf进行医院签章成功");
-
-                // 下载处方签章文件
-                unset($prescription_pdf_result);
-                $file_id = $hospital_sign_pdf_result[0]['fileId'];
-                $prescription_pdf_result = $CaOnline->getSignedFile($hospital_entity_id, $file_id);
-
-                if (empty($prescription_pdf_result)) {
-                    throw new BusinessException("下载处方签章文件失败");
-                }
-
-                dump("下载医院处方签章文件成功");
-
-                // 上传oss
-                $hospital_filename = "applet/prescription/" . $order_prescription['order_prescription_id'] . '.' . 'pdf';
-                $prescription_pdf_url = $oss->putObject($hospital_filename, $prescription_pdf_result);
-                dump("上传医院处方签章文件成功");
+                // 加入下载签章队列
+//
+//                // 下载处方签章文件
+//                unset($prescription_pdf_result);
+//                $file_id = $hospital_sign_pdf_result[0]['fileId'];
+//                $prescription_pdf_result = $CaOnline->getSignedFile($hospital_entity_id, $file_id);
+//
+//                if (empty($prescription_pdf_result)) {
+//                    throw new BusinessException("下载处方签章文件失败");
+//                }
+//
+//                dump("下载医院处方签章文件成功");
+//
+//                // 上传oss
+//                $hospital_filename = "applet/prescription/" . $order_prescription['order_prescription_id'] . '.' . 'pdf';
+//                $prescription_pdf_url = $oss->putObject($hospital_filename, $prescription_pdf_result);
+//                dump("上传医院处方签章文件成功");
             }
 
             $result = array();
             $result['prescription_img_url'] = $prescription_img_url ?? $order_prescription['prescription_img'];
-            $result['prescription_pdf_url'] = '/' . $prescription_pdf_url ?: "";
             return $result;
 
         } catch (\Exception $e) {
diff --git a/app/Services/OrderPrescriptionService_1.php b/app/Services/OrderPrescriptionService_1.php
new file mode 100644
index 0000000..b3a03e9
--- /dev/null
+++ b/app/Services/OrderPrescriptionService_1.php
@@ -0,0 +1,911 @@
+<?php
+
+namespace App\Services;
+
+use App\Constants\HttpEnumCode;
+use App\Exception\BusinessException;
+use App\Model\OrderInquiry;
+use App\Model\OrderProduct;
+use App\Model\PatientFamily;
+use App\Model\Product;
+use App\Model\UserCaCert;
+use App\Model\HospitalDepartmentCustom;
+use App\Model\OrderInquiryCase;
+use App\Model\OrderPrescription;
+use App\Model\OrderPrescriptionIcd;
+use App\Model\OrderPrescriptionProduct;
+use App\Model\OrderProductItem;
+use App\Model\User;
+use App\Model\UserDoctor;
+use App\Model\UserDoctorInfo;
+use App\Model\UserPharmacist;
+use App\Model\UserPharmacistInfo;
+use App\Utils\Log;
+use Extend\Alibaba\Oss;
+use Extend\Ca\Ca;
+use Extend\Ca\CaOffline;
+use Extend\Ca\CaOnline;
+use Extend\Prescription\Prescription;
+use Hyperf\Contract\LengthAwarePaginatorInterface;
+use Hyperf\Utils\WaitGroup;
+use Intervention\Image\ImageManager;
+use Swoole\Coroutine\Channel;
+use TCPDF;
+
+class OrderPrescriptionService_1 extends BaseService
+{
+    /**
+     * 获取医生是否存在被驳回处方
+     * @param string $doctor_id 医生id
+     * @return bool
+     */
+    public function getDoctorExistsAuditFail(string $doctor_id): bool
+    {
+        $params = array();
+        $params['doctor_id'] = $doctor_id;
+        $params['pharmacist_audit_status'] = 2;// 处方审核状态（0:审核中 1:审核成功 2:审核驳回）
+        $params['platform_audit_status'] = 1;// 处方平台审核状态（0:审核中 1:审核成功 2:审核驳回）
+        $params['is_delete'] = 0;// 是否删除（0:否 1:是）
+        return OrderPrescription::getExists($params);
+    }
+
+    /**
+     * 获取药师待审核处方-分页
+     * @param string $pharmacist_id 药师id
+     * @param int $pharmacist_audit_status 药师审核状态（0:审核中 1:审核成功 2:审核驳回）
+     * @param int $platform_audit_status
+     * @param string|int $page
+     * @param string|int $per_page
+     * @return array
+     */
+    public function getPharmacistWaitAuditPage(string $pharmacist_id, int $pharmacist_audit_status, int $platform_audit_status, string|int $page = 1, string|int $per_page = 10): array
+    {
+        $params = array();
+        $params['pharmacist_id'] = $pharmacist_id;
+        if ($pharmacist_audit_status == 0 && $platform_audit_status == 0){
+            $params['prescription_status'] = 1; // 处方状态（1:待审核 2:待使用 3:已失效 4:已使用）
+        }
+        $params['pharmacist_audit_status'] = $pharmacist_audit_status; // 药师审核状态（0:审核中 1:审核成功 2:审核驳回）
+        $params['platform_audit_status'] = $platform_audit_status; // 处方平台审核状态（0:审核中 1:审核成功 2:审核驳回）
+
+        return OrderPrescription::getPage($params, ['*'], $page, $per_page);
+    }
+
+    /**
+     * 获取处方中开方药品
+     * @param string|int $order_prescription_id
+     * @return array
+     */
+    public function getproductList(string|int $order_prescription_id): array
+    {
+        $params = array();
+        $params['order_prescription_id'] = $order_prescription_id;
+        $order_prescription_products = OrderPrescriptionProduct::getLimit($params);
+        if (empty($order_prescription_products)) {
+            return [];
+        }
+
+        $result = [];
+
+        foreach ($order_prescription_products as $order_prescription_product) {
+            $data = array();
+            $data['product_id'] = $order_prescription_product['product_id'];
+            $data['prescription_product_num'] = $order_prescription_product['prescription_product_num'];
+            $data['product_name'] = $order_prescription_product['product_name'] ?? "";
+            $data['product_spec'] = $order_prescription_product['product_spec'] ?? "";
+            $data['single_unit'] = $order_prescription_product['single_unit'] ?? "";
+            $data['single_use'] = $order_prescription_product['single_use'] ?? "";
+            $data['packaging_unit'] = $order_prescription_product['packaging_unit'] ?? "";
+            $data['frequency_use'] = $order_prescription_product['frequency_use'] ?? "";
+            $data['available_days'] = $order_prescription_product['available_days'] ?? 0;
+
+            $result[] = $data;
+        }
+
+        unset($order_product_items);
+
+        return $result;
+    }
+
+    /**
+     * 获取患者某一状态下的处方数量
+     * @param string $patient_id 患者id
+     * @param int $prescription_status 处方状态（1:待审核 2:待使用 3:已失效 4:已使用）
+     * @return int
+     */
+    public function getPatientPrescriptionWithStatus(string $patient_id, int $prescription_status): int
+    {
+        $params = array();
+        $params['patient_id'] = $patient_id;
+        $params['prescription_status'] = $prescription_status;
+        $params['pharmacist_audit_status'] = 1;
+        return OrderPrescription::getCount($params);
+    }
+
+    /**
+     * 开具处方
+     * 医生-正常开具
+     * 药师-先开具药师处方，再开具医院签章
+     * @param string $order_prescription_id
+     * @param string $user_id
+     * @return array
+     */
+    public function openPrescription(string $order_prescription_id, string $user_id): array
+    {
+        try {
+            // 获取用户数据
+            $params = array();
+            $params['user_id'] = $user_id;
+            $user = User::getOne($params);
+            if (empty($user)) {
+                throw new BusinessException("用户数据错误");
+            }
+
+            if ($user['user_type'] != 2 && $user['user_type'] != 3) {
+                throw new BusinessException("用户类型错误");
+            }
+
+            // 获取用户、医院签名图片地址、用户标识信息
+            $params = array();
+            $params['user_id'] = $user['user_id'];
+            if ($user['user_type'] == 2) {
+                $user_doctor_info = UserDoctorInfo::getOne($params);
+                if (empty($user_doctor_info)) {
+                    throw new BusinessException("用户数据错误");
+                }
+
+                $user_sign_image_path = $user_doctor_info['sign_image'];
+                $user_entity_id = "491925054435950592";
+            } else {
+                $user_pharmacist_info = UserPharmacistInfo::getOne($params);
+                if (empty($user_pharmacist_info)) {
+                    throw new BusinessException("用户数据错误");
+                }
+
+                $user_sign_image_path = $user_pharmacist_info['sign_image'];
+                $user_entity_id = $user['user_id'];
+
+                $hospital_sign_image_path = "basic/file/hospital_signature.png";
+                $hospital_entity_id = "5345345461";
+            }
+
+            if (empty($user_sign_image_path) || empty($user_entity_id)) {
+                throw new BusinessException("无签名图片/用户唯一标识");
+            }
+
+            // 去除第一个/ oss不识别
+            $sign_image_path = substr($user_sign_image_path, 1, strlen($user_sign_image_path) - 1);
+
+            // 获取处方数据
+            $params = array();
+            $params['order_prescription_id'] = $order_prescription_id;
+            $order_prescription = OrderPrescription::getOne($params);
+            if (empty($order_prescription)) {
+                throw new BusinessException("处方数据错误");
+            }
+
+            if (empty($order_prescription['doctor_created_time'])) {
+                throw new BusinessException("医生开方日期错误");
+            }
+
+            // 检测处方图片
+            if ($user['user_type'] == 3 && empty($order_prescription['prescription_img'])) {
+                throw new BusinessException("处方图片错误");
+            }
+
+            // 创建协程客户端
+            $wg = new WaitGroup();
+
+            // 创建通道
+            $channel = new Channel();
+
+            $wg->add(4);
+
+            // 获取处方关联疾病名称
+            $icd_name = "";
+            co(function () use ($wg,$channel,&$icd_name,$order_prescription_id) {
+                defer(function() use ($wg) {
+                    $wg->done();
+                });
+
+                $params = array();
+                $params['order_prescription_id'] = $order_prescription_id;
+                $order_prescription_icd = OrderPrescriptionIcd::getList($params);
+                if (empty($order_prescription_icd)) {
+                    $channel->push('处方疾病数据错误');
+                    return;
+                }
+
+                $icd_name = array_column($order_prescription_icd->toArray(), 'icd_name');
+                if (!empty($icd_name)) {
+                    if (count($icd_name) > 1) {
+                        $icd_name = implode(';', $icd_name);
+                    } else {
+                        $icd_name = $icd_name[0];
+                    }
+                }
+            });
+
+            // 获取处方关联商品数据
+            $order_prescription_product = [];
+            co(function () use ($wg,$channel,&$order_prescription_product,$order_prescription_id) {
+                defer(function() use ($wg) {
+                    $wg->done();
+                });
+
+                $params = array();
+                $params['order_prescription_id'] = $order_prescription_id;
+                $order_prescription_product = OrderPrescriptionProduct::getList($params);
+                if (empty($order_prescription_product)) {
+                    $channel->push('处方药品数据错误');
+                    return;
+                }
+            });
+
+            // 获取医生自定义科室数据
+            $hospital_department_custom = [];
+            $doctor_id = $order_prescription['doctor_id'];
+            co(function () use ($wg,$channel,&$hospital_department_custom,$doctor_id) {
+                defer(function() use ($wg) {
+                    $wg->done();
+                });
+
+                // 获取医生数据
+                $params = array();
+                $params['doctor_id'] = $doctor_id;
+                $user_doctor = UserDoctor::getOne($params);
+                if (empty($user_doctor)) {
+                    $channel->push('医生数据错误');
+                    return;
+                }
+
+                // 获取医生自定义科室数据
+                $params = array();
+                $params['department_custom_id'] = $user_doctor['department_custom_id'];
+                $hospital_department_custom = HospitalDepartmentCustom::getOne($params);
+                if (empty($hospital_department_custom)) {
+                    $channel->push('医生自定义数据错误');
+                    return;
+                }
+            });
+
+            // 获取处方关联病例数据
+            $order_inquiry_case = [];
+            $order_inquiry_id = $order_prescription['order_inquiry_id'];
+            co(function () use ($wg,$channel,&$order_inquiry_case,$order_inquiry_id) {
+                defer(function() use ($wg) {
+                    $wg->done();
+                });
+
+                $params = array();
+                $params['order_inquiry_id'] = $order_inquiry_id;
+                $order_inquiry_case = OrderInquiryCase::getOne($params);
+                if (empty($order_inquiry_case)) {
+                    $channel->push('处方病例数据错误');
+                    return;
+                }
+            });
+
+            // 结束
+            $wg->wait();
+
+            // 判断通道是否存在异常数据
+            $res = $channel->isEmpty();
+            if ($res){
+                // 读取通道数据
+                $data = $channel->pop();
+
+                // 关闭channel通道
+                $channel->close();
+
+                throw new BusinessException($data);
+            }else{
+                // 关闭channel通道
+                $channel->close();
+            }
+
+            $CaOnline = new CaOnline();
+
+            // 获取云证书签名
+            $data = array();
+            $data['created_at'] = $order_prescription['doctor_created_time'];
+            $data['department_custom_name'] = $hospital_department_custom['department_name'] ?: "";
+            $data['user_name'] = $order_prescription['patient_name'];
+            $data['sex'] = sexToStringSex($order_prescription['patient_sex']);
+            $data['age'] = $order_prescription['patient_age'];
+            $data['allergy_history'] = $order_inquiry_case['allergy_history'] ?: "无";
+            $data['icd_name'] = $icd_name;
+            $data['doctor_advice'] = $order_prescription['doctor_advice'] ?: "无";
+
+            // 商品数据
+            $data['product'] = array();
+            foreach ($order_prescription_product as $item) {
+                $product = array();
+                $product['product_name'] = $item['product_name'] . "(" . $item['product_spec'] . ")"; // 商品名称+商品规格
+                $product['single_unit'] = $item['single_unit'] ?: ""; // 单次剂量（例：1次1包）
+                $product['frequency_use'] = $item['frequency_use'] ?: ""; // 使用频率(例：1天3次)
+                $product['single_use'] = $item['single_use'] ?: ""; // 单次用法（例：口服）
+                $product['prescription_product_num'] = $item['prescription_product_num'] . $item['packaging_unit']; // 商品数量 + 基本包装单位(例：盒/瓶)
+                $data['product'][] = $product;
+            }
+
+            dump("获取用户云证书签名");
+            $cert_sign_result = $CaOnline->getCertSign($user_entity_id, $user_entity_id, $data);
+            dump("获取用户云证书签名成功");
+
+            // 验证云证书签名-验证无需处理，只要不返回错误即可
+            dump("验证用户云证书签名");
+            $CaOnline->verifyPkcs7($cert_sign_result['signP7'], $data);
+            dump("验证用户云证书签名成功");
+
+            if ($user['user_type'] == 3) {
+                dump("获取医院云证书签名");
+                unset($cert_sign_result);
+                $cert_sign_result = $CaOnline->getCertSign($hospital_entity_id, $hospital_entity_id, $data);
+                dump("获取医院云证书签名成功");
+
+                // 验证云证书签名-验证无需处理，只要不返回错误即可
+                dump("验证医院云证书签名");
+                $CaOnline->verifyPkcs7($cert_sign_result['signP7'], $data);
+                dump("验证医院云证书签名成功");
+            }
+
+            $oss = new Oss();
+            // 医生
+            if ($user['user_type'] == 2) {
+                // 下载基础处方图片
+                $prescription_basic_filename = "basic/file/prescription.jpg";
+                $prescription_image = $oss->getObjectToRAM($prescription_basic_filename);
+
+                dump("下载基础处方图片成功");
+
+                $manager = new ImageManager();
+
+                $image = $manager->make($prescription_image);
+
+                $fontPath = './extend/Ca/msyh.ttf';
+
+                // 处方号
+                $image->text($order_prescription['prescription_code'], 1480, 540, function ($font) use ($fontPath) {
+                    $font->file($fontPath);
+                    $font->size(60);
+                    $font->align('left');
+                });
+
+                // 日期
+                $image->text(date('Y-m-d', strtotime($order_prescription['doctor_created_time'])), 354, 675, function ($font) use ($fontPath) {
+                    $font->file($fontPath);
+                    $font->size(60);
+                    $font->align('left');
+                });
+
+                // 科室
+                $image->text($hospital_department_custom['department_name'] ?: "", 1385, 675, function ($font) use ($fontPath) {
+                    $font->file($fontPath);
+                    $font->size(60);
+                    $font->align('left');
+                });
+
+                // 姓名
+                $image->text($order_prescription['patient_name'], 354, 795, function ($font) use ($fontPath) {
+                    $font->file($fontPath);
+                    $font->size(60);
+                    $font->align('left');
+                });
+
+                // 性别
+                $image->text(sexToStringSex($order_prescription['patient_sex']), 1385, 790, function ($font) use ($fontPath) {
+                    $font->file($fontPath);
+                    $font->size(60);
+                    $font->align('left');
+                });
+
+                // 年龄
+                $image->text($order_prescription['patient_age'], 354, 900, function ($font) use ($fontPath) {
+                    $font->file($fontPath);
+                    $font->size(60);
+                    $font->align('left');
+                });
+
+                // 过敏史
+                $image->text($order_inquiry_case['allergy_history'] ?: "无", 405, 1030, function ($font) use ($fontPath) {
+                    $font->file($fontPath);
+                    $font->size(60);
+                    $font->align('left');
+                });
+
+                // 初步诊断
+                $image->text($icd_name, 445, 1145, function ($font) use ($fontPath) {
+                    $font->file($fontPath);
+                    $font->size(60);
+                    $font->align('left');
+                });
+
+                // 医生建议
+                $image->text($order_prescription['doctor_advice'] ?: "无", 445, 1252, function ($font) use ($fontPath) {
+                    $font->file($fontPath);
+                    $font->size(60);
+                    $font->align('left');
+                });
+
+                // 商品数据
+                foreach ($order_prescription_product as $key => $item) {
+                    $x_axis = 229;
+                    $y_axis = 1600 + $key * 250;
+                    $x_axis_num = 1900;// 数量使用
+
+                    // 商品名称
+                    $image->text($item['product_name'], $x_axis, $y_axis, function ($font) use ($fontPath) {
+                        $font->file($fontPath);
+                        $font->size(50);
+                        $font->align('left');
+                    });
+
+                    $image->text("X" . $item['prescription_product_num'] . $item['packaging_unit'], $x_axis_num, $y_axis, function ($font) use ($fontPath) {
+                        $font->file($fontPath);
+                        $font->size(50);
+                        $font->align('left');
+                    });
+
+                    // 用量
+                    $image->text("用量：" . $item['single_unit'] . " " . $item['frequency_use'], $x_axis, $y_axis + 70, function ($font) use ($fontPath) {
+                        $font->file($fontPath);
+                        $font->size(50);
+                        $font->align('left');
+                    });
+
+                    // 用法
+                    $image->text("用法：" . $item['single_use'], $x_axis, $y_axis + 140, function ($font) use ($fontPath) {
+                        $font->file($fontPath);
+                        $font->size(50);
+                        $font->align('left');
+                    });
+                }
+
+                // 生成图片
+                $img_result = (string)$image->encode('png', 75);
+                dump("处方图片生成成功");
+
+                // 上传处方图片至oss
+                $prescription_img_oss_filename = "applet/prescription/" . $order_prescription['order_prescription_id'] . '.' . 'jpg';
+                $prescription_img_url = $oss->putObject($prescription_img_oss_filename, $img_result);
+                $prescription_img_url = '/' . $prescription_img_url;
+                dump("处方图片上传oss成功");
+
+                // 图片生成pdf
+                $pdf = new TCPDF('P', 'mm', 'A4', true, 'UTF-8', false);
+
+                $pdf->AddPage();
+                $pdf->Image('@' . $img_result, 10, 10, 0, 0, '', '', '', false, 300, '', false, false, 0, false, false, false);
+
+                $prescription_pdf_local_filename = $order_prescription['order_prescription_id'] . '.' . 'pdf';
+
+                // 图片生成的处方pdf存储为本地文件
+                $pdf->Output(dirname(__DIR__, 2) . "/" . $prescription_pdf_local_filename, "F");
+
+                dump("处方图片生成pdf成功");
+            }
+
+            // 药师
+            if ($user['user_type'] == 3) {
+                // 下载医生开具的处方pdf
+                // 去除第一个/ oss不识别
+                $prescription_pdf_path = substr($order_prescription['prescription_pdf'], 1, strlen($order_prescription['prescription_pdf']) - 1);
+
+                $local = "./runtime/" . $order_prescription['order_prescription_id'] . '.' . 'pdf';
+
+                $oss->getObjectToLocal($prescription_pdf_path, $local);
+                dump("下载医生开具的处方pdf成功");
+            }
+
+            // 下载签名图片
+            $style = "image/resize,m_lfit,w_100,h_350";
+            $sign_image = $oss->getCusTomObjectToRAM($sign_image_path, $style);
+            $sign_image = base64_encode($sign_image);
+            if (!$sign_image) {
+                throw new BusinessException("签名图片下载失败");
+            }
+
+            dump("下载签名图片成功");
+
+            if ($user['user_type'] == 2) {
+                $sign_param = [
+                    [ // 医生端
+                        "llx" => "120", // 左边底部X坐标
+                        "lly" => "190", // 左边底部Y坐标
+                        "urx" => "190", // 右边上部x坐标
+                        "ury" => "140", // 右边上部y坐标
+                        "pageList" => [1],
+                        "sealImg" => $sign_image
+                    ],
+                ];
+            } else {
+                $sign_param = [
+                    [ // 药师端
+                        "llx" => "350", // 左边底部X坐标
+                        "lly" => "190", // 左边底部Y坐标
+                        "urx" => "440", // 右边上部x坐标
+                        "ury" => "140", // 右边上部y坐标
+                        "pageList" => [1],
+                        "sealImg" => $sign_image
+                    ]
+                ];
+            }
+
+            // 打开处方pdf文件
+            $pdf_file = fopen("./runtime/" . $order_prescription['order_prescription_id'] . ".pdf", 'r');
+            if (!$pdf_file) {
+                throw new BusinessException("处方图片打开失败");
+            }
+
+
+            // 处方pdf进行签章
+            $data = array();
+            $data['sign_param'] = json_encode($sign_param);
+            $data['pdf_file'] = $pdf_file;
+            $sign_pdf_result = $CaOnline->addSignPdf($user_entity_id, $data);
+            if (empty($sign_pdf_result[0]['fileId'])) {
+                throw new BusinessException("处方签章失败");
+            }
+
+            dump("处方pdf进行签章成功");
+
+            // 下载处方签章文件
+            $file_id = $sign_pdf_result[0]['fileId'];
+            $prescription_pdf_result = $CaOnline->getSignedFile($user_entity_id, $file_id);
+
+            if (empty($prescription_pdf_result)) {
+                throw new BusinessException("下载处方签章文件失败");
+            }
+
+            dump("下载处方签章文件成功");
+
+            // 上传oss
+            $filename = "applet/prescription/" . $order_prescription['order_prescription_id'] . '.' . 'pdf';
+            $prescription_pdf_url = $oss->putObject($filename, $prescription_pdf_result);
+            dump("处方pdf上传pss成功");
+
+            if ($user['user_type'] == 3) {
+                // 药师端时，需要进行系统签章
+                // 把药师签章的pdf存储至本地文件
+                $file = fopen("./runtime/" . $order_prescription['order_prescription_id'] . '.' . 'pdf', "w");
+                fwrite($file, $prescription_pdf_result);
+                fclose($file);
+
+                // 下载医院签名图片
+                $style = "image/resize,w_300,h_300";
+                $sign_image = $oss->getCusTomObjectToRAM($hospital_sign_image_path, $style);
+                $sign_image = base64_encode($sign_image);
+                if (!$sign_image) {
+                    throw new BusinessException("医院签名图片下载失败");
+                }
+
+                $sign_param = [
+                    [ // 医院签章
+                        "llx" => "370", // 左边底部X坐标 控制左右（越小越左）
+                        "lly" => "210", // 左边底部Y坐标 控制上下（越小越下）
+                        "urx" => "520", // 右边上部x坐标
+                        "ury" => "360", // 右边上部y坐标
+                        "pageList" => [1],
+                        "sealImg" => $sign_image
+                    ],
+                ];
+
+                // 打开处方pdf文件
+                unset($pdf_file);
+                $pdf_file = fopen("./runtime/" . $order_prescription['order_prescription_id'] . ".pdf", 'r');
+
+                // 处方pdf进行签章
+                $data = array();
+                $data['sign_param'] = json_encode($sign_param);
+                $data['pdf_file'] = $pdf_file;
+                $hospital_sign_pdf_result = $CaOnline->addSignPdf($hospital_entity_id, $data);
+                if (empty($hospital_sign_pdf_result[0]['fileId'])) {
+                    throw new BusinessException("处方签章失败");
+                }
+
+                dump("处方pdf进行医院签章成功");
+
+                // 下载处方签章文件
+                unset($prescription_pdf_result);
+                $file_id = $hospital_sign_pdf_result[0]['fileId'];
+                $prescription_pdf_result = $CaOnline->getSignedFile($hospital_entity_id, $file_id);
+
+                if (empty($prescription_pdf_result)) {
+                    throw new BusinessException("下载处方签章文件失败");
+                }
+
+                dump("下载医院处方签章文件成功");
+
+                // 上传oss
+                $hospital_filename = "applet/prescription/" . $order_prescription['order_prescription_id'] . '.' . 'pdf';
+                $prescription_pdf_url = $oss->putObject($hospital_filename, $prescription_pdf_result);
+                dump("上传医院处方签章文件成功");
+            }
+
+            $result = array();
+            $result['prescription_img_url'] = $prescription_img_url ?? $order_prescription['prescription_img'];
+            $result['prescription_pdf_url'] = '/' . $prescription_pdf_url ?: "";
+            return $result;
+
+        } catch (\Exception $e) {
+            throw new BusinessException($e->getMessage());
+        }
+    }
+
+    /**
+     * 上报处方平台
+     * @param string $order_product_id 商品订单id
+     * @return bool
+     */
+    public function reportPrescription(string $order_product_id): bool
+    {
+        // 获取商品订单数据
+        $params = array();
+        $params['order_product_id'] = $order_product_id;
+        $order_product = OrderProduct::getOne($params);
+        if (empty($order_product)) {
+            throw new BusinessException("上报处方平台失败：商品订单数据错误");
+        }
+
+        // 获取处方数据
+        $params = array();
+        $params['order_prescription_id'] = $order_product['order_prescription_id'];
+        $order_prescription = OrderPrescription::getOne($params);
+        if (empty($order_prescription)) {
+            throw new BusinessException("上报处方平台失败：处方数据错误");
+        }
+
+        // 获取问诊订单数据
+        $params = array();
+        $params['order_inquiry_id'] = $order_prescription['order_inquiry_id'];
+        $order_inquiry = OrderInquiry::getOne($params);
+        if (empty($order_inquiry)) {
+            throw new BusinessException("上报处方平台失败：问诊订单数据错误");
+        }
+
+        // 获取商品订单列表数据
+        $params = array();
+        $params['order_product_id'] = $order_product['order_product_id'];
+        $order_product_item = OrderProductItem::getList($params);
+        if (empty($order_product_item)) {
+            throw new BusinessException("上报处方平台失败：商品订单列表数据错误");
+        }
+
+        $wg = new WaitGroup();
+        $wg->add(8);
+
+        $user = []; // 就诊患者用户数据
+        $patient_family = []; // 家庭成员-基本信息
+        $order_prescription_icd = []; // 处方关联疾病数据
+        $user_doctor = []; // 医生数据
+        $user_doctor_info = []; // 医生详情数据
+        $user_pharmacist = []; // 药师数据
+        $user_pharmacist_info = []; // 药师详数据
+        $order_inquiry_case = []; // 病例数据
+
+        $user_id = $order_inquiry['user_id'];
+        $doctor_id = $order_prescription['doctor_id'];
+        $family_id = $order_inquiry['family_id'];
+        $pharmacist_id = $order_prescription['pharmacist_id'];
+        $order_inquiry_id = $order_inquiry['order_inquiry_id'];
+
+        // 获取就诊患者用户数据
+        co(function () use ($wg, &$user, $user_id) {
+            $params = array();
+            $params['user_id'] = $user_id;
+            $user = User::getOne($params)->toArray();
+            // 计数器减一
+            $wg->done();
+        });
+
+        // 获取家庭成员-基本信息
+        co(function () use ($wg, &$patient_family, $family_id) {
+            $params = array();
+            $params['family_id'] = $family_id;
+            $patient_family = PatientFamily::getOne($params);
+
+            // 计数器减一
+            $wg->done();
+        });
+
+        // 获取处方关联疾病数据
+        $order_prescription_id = $order_prescription['order_prescription_id'];
+        co(function () use ($wg, &$order_prescription_icd, $order_prescription_id) {
+            $params = array();
+            $params['order_prescription_id'] = $order_prescription_id;
+            $order_prescription_icd = OrderPrescriptionIcd::getList($params);
+
+            // 计数器减一
+            $wg->done();
+        });
+
+        // 获取医生数据
+        co(function () use ($wg, &$user_doctor, $doctor_id) {
+            $params = array();
+            $params['doctor_id'] = $doctor_id;
+            $user_doctor = UserDoctor::getOne($params);
+
+            // 计数器减一
+            $wg->done();
+        });
+
+        // 获取医生详情数据
+        co(function () use ($wg, &$user_doctor_info, $doctor_id) {
+            $params = array();
+            $params['doctor_id'] = $doctor_id;
+            $user_doctor_info = UserDoctorInfo::getOne($params);
+
+            // 计数器减一
+            $wg->done();
+        });
+
+        // 获取药师数据
+        co(function () use ($wg, &$user_pharmacist, $pharmacist_id) {
+            $params = array();
+            $params['pharmacist_id'] = $pharmacist_id;
+            $user_pharmacist = UserPharmacist::getOne($params);
+
+            // 计数器减一
+            $wg->done();
+        });
+
+        // 获取药师详情数据
+        co(function () use ($wg, &$user_pharmacist_info, $pharmacist_id) {
+            $params = array();
+            $params['pharmacist_id'] = $pharmacist_id;
+            $user_pharmacist_info = UserPharmacistInfo::getOne($params);
+
+            // 计数器减一
+            $wg->done();
+        });
+
+        // 获取病例数据
+        co(function () use ($wg, &$order_inquiry_case, $order_inquiry_id) {
+            $params = array();
+            $params['order_inquiry_id'] = $order_inquiry_id;
+            $params['status'] = 1;
+            $order_inquiry_case = OrderInquiryCase::getOne($params);
+
+            // 计数器减一
+            $wg->done();
+        });
+
+        $wg->wait();
+
+        if (empty($user)) {
+            throw new BusinessException("用户数据错误");
+        }
+        if (empty($patient_family)) {
+            throw new BusinessException("用户家庭成员错误");
+        }
+        if (empty($order_prescription_icd)) {
+            throw new BusinessException("处方疾病数据错误");
+        }
+        if (empty($user_doctor)) {
+            throw new BusinessException("医生数据错误");
+        }
+        if (empty($user_doctor_info)) {
+            throw new BusinessException("医生详情数据错误");
+        }
+        if (empty($user_pharmacist)) {
+            throw new BusinessException("药师数据错误");
+        }
+        if (empty($user_pharmacist_info)) {
+            throw new BusinessException("药师详情数据错误");
+        }
+        if (empty($order_inquiry_case)) {
+            throw new BusinessException("病例数据错误");
+        }
+
+        // 处理疾病数据
+        $icd_name = array_column($order_prescription_icd->toArray(), 'icd_name');
+        if (!empty($icd_name)) {
+            if (count($icd_name) > 1) {
+                $icd_name = implode(';', $icd_name);
+            } else {
+                $icd_name = $icd_name[0];
+            }
+        } else {
+            $icd_name = "";
+        }
+
+        // 获取医生科室
+        $params = array();
+        $params['department_custom_id'] = $user_doctor['department_custom_id'];
+        $hospital_department_custom = HospitalDepartmentCustom::getOne($params);
+        if (empty($hospital_department_custom)) {
+            throw new BusinessException("医生科室数据错误");
+        }
+
+        $arg = array();
+        $arg['terminalCode'] = "ZD-10003";
+        $arg['orderNo'] = $order_product['order_product_no']; // 订单编号
+        $arg['transactNo'] = $order_product['escrow_trade_no']; // 流水单号
+        $arg['payDate'] = $order_product['pay_time']; // 支付时间
+        $arg['money'] = $order_product['payment_amount_total']; // 订单金额
+        $arg['freight'] = $order_product['logistics_fee'];  // 运费(单位：元)
+        $arg['takeTypeCode'] = 2; // 取货方式 1 自提 2 快递，目前只支持快递，传固定值 2
+        $arg['buyerName'] = $order_product['consignee_name'];// 收货人姓名
+        $arg['buyerPhone'] = $order_product['consignee_tel'];// 收货人联系方式
+        $arg['buyerAddress'] = $order_product['address'];// 收货人地址
+        $arg['provinceCode'] = $order_product['province_id'];   // 收货地址(省) 编码
+        $arg['provinceName'] = $order_product['province'];  // 收货地址(省) 名称
+        $arg['cityCode'] = $order_product['city_id'];   // 收货地址(市) 编码
+        $arg['cityName'] = $order_product['city'];  // 收货地址(市) 名称
+        $arg['districtCode'] = $order_product['county_id']; // 收货地址(区 县)编码
+        $arg['districtName'] = $order_product['county'];    // 收货地址(区 县)名称
+
+        $arg['presList'][0]['prescriptionNo'] = $order_prescription['prescription_code'];  // 处方编号
+        $arg['presList'][0]['prescriptionSubType'] = 1;   // 处方类型 0：无类型 1：普 通处方 2：儿科处 方
+        $arg['presList'][0]['patientName'] = $order_prescription['patient_name'];   // 就诊人姓名
+        $arg['presList'][0]['patientPhone'] = $user['mobile'];   // 就诊人联系方式
+        $arg['presList'][0]['idCard'] = $patient_family['id_number'];   //  身份证号
+        $arg['presList'][0]['advice'] = $order_prescription['doctor_advice'] ?: "";   //  医嘱
+        $arg['presList'][0]['diagnosisName'] = $icd_name ?: "";   //  诊断
+        $arg['presList'][0]['thirdDoctorName'] = $user_doctor['user_name'];   //  开方医生姓名
+        $arg['presList'][0]['thirdDeptName'] = $hospital_department_custom['department_name'] ?: "";   //  开方科室名称
+        $arg['presList'][0]['thirdDoctorNameImg'] = addAliyunOssWebsite($user_doctor_info['sign_image']);   //  开方医生签名链接
+        $arg['presList'][0]['prescriptionTime'] = $order_prescription['doctor_created_time'];   //  开方时间
+        $arg['presList'][0]['thirdFirstPharmacist'] = $user_pharmacist['user_name'];   //  初审药师姓名
+        $arg['presList'][0]['thirdFirstPharmacistImg'] = addAliyunOssWebsite($user_pharmacist_info['sign_image']);   //   初审药师签名链接
+        $arg['presList'][0]['thirdFirstTime'] = $order_prescription['pharmacist_verify_time'];   // 初审时间
+        $arg['presList'][0]['thirdLastPharmacist'] = $user_pharmacist['user_name'];   //   终审药师姓名
+        $arg['presList'][0]['thirdLastPharmacistImg'] = addAliyunOssWebsite($user_pharmacist_info['sign_image']);   // 终审药师签名 链接
+        $arg['presList'][0]['ThirdLastTime'] = $order_prescription['pharmacist_verify_time'];   // 终审时间
+        $arg['presList'][0]['thirdSignImg'] = addAliyunOssWebsite("/basic/file/hospital_signature.png");   // 处方签章链接
+        $arg['presList'][0]['referenceCharge'] = $order_product['amount_total'];   // 处方费用（不包含运费）
+        $arg['presList'][0]['chiefComplaint'] = $order_inquiry_case['disease_desc'] ?: "";   // 主诉
+        $arg['presList'][0]['historyPresent'] = $order_inquiry_case['disease_class_name'] ?: "";   // 现病史
+        $arg['presList'][0]['pastHistory'] = $order_inquiry_case['family_history'] ?: "无";   // 既往史
+        $arg['presList'][0]['physicalExamination'] = "无";   // 体格检查
+        $arg['presList'][0]['supplementaryExamination'] = "无";   // 辅助检查
+        $arg['presList'][0]['allergicHistory'] = $order_inquiry_case['allergy_history'] ?: "无";   // 过敏史
+
+        // 药品数据
+        foreach ($order_product_item as $key => $item) {
+            // 获取商品数据
+            $params = array();
+            $params['product_id'] = $item['product_id'];
+            $product = Product::getOne($params);
+            if (empty($product)) {
+                throw new BusinessException("药品数据错误");
+            }
+
+            $arg['presList'][0]['drugList'][$key]['drugCode'] = $product['product_platform_code'];   // 药品编码
+            $arg['presList'][0]['drugList'][$key]['approvalNumber'] = $product['license_number'];   // 批准文号
+            $arg['presList'][0]['drugList'][$key]['drugName'] = $product['product_name'];   // 药品名称
+            $arg['presList'][0]['drugList'][$key]['specifications'] = $product['product_spec'];   // 药品规格
+            $arg['presList'][0]['drugList'][$key]['price'] = $product['product_price'];   // 药品单价
+            $arg['presList'][0]['drugList'][$key]['packingCount'] = $item['amount'];   // 药品数量
+            $arg['presList'][0]['drugList'][$key]['surplusPackingCount'] = 0;   // 处方药品剩余使用数量
+            $arg['presList'][0]['drugList'][$key]['packingUnit'] = $product['packaging_unit'];   // 药品单位
+            $arg['presList'][0]['drugList'][$key]['singleDosage'] = 1;   // 单次用量
+            $arg['presList'][0]['drugList'][$key]['singleDosageUnit'] = "片";   // 单次用量单位
+            $arg['presList'][0]['drugList'][$key]['useName'] = $product['single_use'];   // 用法名称
+            $arg['presList'][0]['drugList'][$key]['frequencyName'] = $product['frequency_use'];   // 频次名称
+            $arg['presList'][0]['drugList'][$key]['useDays'] = $product['available_days'];   // 使用天数
+
+            $arg['presList'][0]['orderDrugList'][$key]['drugCode'] = $product['product_platform_code'];   // 药品编码
+            $arg['presList'][0]['orderDrugList'][$key]['approvalNumber'] = $product['license_number'];   // 批准文号
+            $arg['presList'][0]['orderDrugList'][$key]['drugName'] = $product['product_name'];   // 药品名称
+            $arg['presList'][0]['orderDrugList'][$key]['specifications'] = $product['product_spec'];   // 药品规格
+            $arg['presList'][0]['orderDrugList'][$key]['price'] = $product['product_price'];   // 药品单价
+            $arg['presList'][0]['orderDrugList'][$key]['drugCount'] = $item['amount'];   // 药品数量
+            $arg['presList'][0]['orderDrugList'][$key]['packingUnit'] = $product['packaging_unit'];   // 药品单位
+        }
+
+        $Prescription = new Prescription();
+        $result = $Prescription->reportPrescription($arg);
+        if ($result['resultCode'] != "1000"){
+            if(!empty($result['resultDesc'])){
+                throw new BusinessException("上报处方平台失败:" .$result['resultDesc']);
+            }
+
+            throw new BusinessException("上报处方平台失败:操作编码:" . $result['resultCode']);
+        }
+
+        return true;
+    }
+
+}
\ No newline at end of file
diff --git a/app/Services/UserDoctorService.php b/app/Services/UserDoctorService.php
index e2ac03f..72277ff 100644
--- a/app/Services/UserDoctorService.php
+++ b/app/Services/UserDoctorService.php
@@ -1153,7 +1153,7 @@ class UserDoctorService extends BaseService
 
             $OrderPrescriptionService = new OrderPrescriptionService();
             $prescription_open_result = $OrderPrescriptionService->openPrescription($order_prescription->order_prescription_id,$user_info['user_id']);
-            if (empty($prescription_open_result['prescription_img_url']) || empty($prescription_open_result['prescription_pdf_url'])){
+            if (empty($prescription_open_result['prescription_img_url'])){
                 Db::rollBack();
                 return fail(HttpEnumCode::SERVER_ERROR, "处方开具失败");
             }
@@ -1161,7 +1161,6 @@ class UserDoctorService extends BaseService
             // 修改处方表
             $data = array();
             $data['prescription_img'] = $prescription_open_result['prescription_img_url'];
-            $data['prescription_pdf'] = $prescription_open_result['prescription_pdf_url'];
             $data['doctor_created_time'] = date('Y-m-d H:i:s',time());
             $data['prescription_status'] = 1; // 处方状态（1:待审核 3:待使用 4:已失效 5:已使用）
             $data['pharmacist_audit_status'] = 0; // 药师审核驳回原因
@@ -1371,7 +1370,7 @@ class UserDoctorService extends BaseService
             // 开具处方
             $OrderPrescriptionService = new OrderPrescriptionService();
             $prescription_open_result = $OrderPrescriptionService->openPrescription($order_prescription->order_prescription_id,$user_info['user_id']);
-            if (empty($prescription_open_result['prescription_img_url']) || empty($prescription_open_result['prescription_pdf_url'])){
+            if (empty($prescription_open_result['prescription_img_url'])){
                 Db::rollBack();
                 return fail(HttpEnumCode::SERVER_ERROR, "处方开具失败");
             }
@@ -1379,7 +1378,6 @@ class UserDoctorService extends BaseService
             // 修改处方表
             $data = array();
             $data['prescription_img'] = $prescription_open_result['prescription_img_url'];
-            $data['prescription_pdf'] = $prescription_open_result['prescription_pdf_url'];
             $data['doctor_created_time'] = date('Y-m-d H:i:s',time());
 
             $params = array();
@@ -2146,4 +2144,6 @@ class UserDoctorService extends BaseService
 
         return $result;
     }
+
+
 }
\ No newline at end of file
diff --git a/app/Services/UserPharmacistService.php b/app/Services/UserPharmacistService.php
index 1911f57..73088eb 100644
--- a/app/Services/UserPharmacistService.php
+++ b/app/Services/UserPharmacistService.php
@@ -233,7 +233,7 @@ class UserPharmacistService extends BaseService
                 // 药师ca签章
                 $OrderPrescriptionService = new OrderPrescriptionService();
                 $prescription_open_result = $OrderPrescriptionService->openPrescription($order_prescription['order_prescription_id'],$user_info['user_id']);
-                if (empty($prescription_open_result['prescription_img_url']) || empty($prescription_open_result['prescription_pdf_url'])){
+                if (empty($prescription_open_result['prescription_img_url'])){
                     Db::rollBack();
                     return fail(HttpEnumCode::SERVER_ERROR, "处方审核失败");
                 }
diff --git a/app/Services/UserService.php b/app/Services/UserService.php
index 8759d5a..4bb0cff 100644
--- a/app/Services/UserService.php
+++ b/app/Services/UserService.php
@@ -18,6 +18,7 @@ use GuzzleHttp\Exception\GuzzleException;
 use Hyperf\Amqp\Result;
 use Hyperf\DbConnection\Db;
 use Hyperf\Redis\Redis;
+use Hyperf\Utils\WaitGroup;
 use Psr\Container\ContainerExceptionInterface;
 use Psr\Container\NotFoundExceptionInterface;
 use Symfony\Contracts\HttpClient\Exception\ClientExceptionInterface;
diff --git a/extend/Ca/ZiYuYongSongTi-2.ttf b/extend/Ca/ZiYuYongSongTi-2.ttf
deleted file mode 100644
index 643a988..0000000
Binary files a/extend/Ca/ZiYuYongSongTi-2.ttf and /dev/null differ
diff --git a/extend/Ca/hospital_signature.png b/extend/Ca/hospital_signature.png
new file mode 100644
index 0000000..10f6ef4
Binary files /dev/null and b/extend/Ca/hospital_signature.png differ
diff --git a/extend/Ca/prescription.jpg b/extend/Ca/prescription.jpg
new file mode 100644
index 0000000..ac4beb4
Binary files /dev/null and b/extend/Ca/prescription.jpg differ