diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/ReportServiceImpl.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/ReportServiceImpl.java
index abb4314..70d9765 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/ReportServiceImpl.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/ReportServiceImpl.java
@@ -4,6 +4,7 @@ import com.alibaba.fastjson.JSON;
 import com.alibaba.fastjson.JSONObject;
 import com.lyms.hospitalapi.pojo.ReportModel;
 import com.lyms.platform.biz.AntExChuModelTemp;
+import com.lyms.platform.biz.dal.IAntExChuDao;
 import com.lyms.platform.biz.service.*;
 import com.lyms.platform.common.base.PageInfo;
 import com.lyms.platform.common.constants.ErrorCodeConstants;
@@ -115,6 +116,9 @@ public class ReportServiceImpl extends BaseServiceImpl implements IReportService
     @Autowired
     private PersonService personService;
 
+    @Autowired
+    private IAntExChuDao iAntExChuDao;
+
 
     private static final Map<String, String> colorMap = new HashMap<>();
 
@@ -5459,6 +5463,20 @@ public class ReportServiceImpl extends BaseServiceImpl implements IReportService
             map.put("hospitalName", bookbuildingCoupon.get("hospitalname"));
             String yyzyfmHospitalId_name = couponMapper.findHospitalNameById(patientsModel.getYyzyfmHospitalId());
             map.put("yyzyfmHospitalId", StringUtils.isNotEmpty(yyzyfmHospitalId_name)?yyzyfmHospitalId_name:"");
+            //初诊医院
+            String firstVisitHospital="";
+            AntExChuQuery antExChuQuery = new AntExChuQuery();
+            antExChuQuery.setYn(YnEnums.YES.getId());
+            antExChuQuery.setParentId(patientsModel.getId());
+            List<AntExChuModel> antExChuModels = iAntExChuDao.query(antExChuQuery.convertToQuery().addOrder(Sort.Direction.DESC,"created"));
+            if(CollectionUtils.isNotEmpty(antExChuModels)){
+                firstVisitHospital = couponMapper.findHospitalNameById(antExChuModels.get(0).getHospitalId());
+            }
+            map.put("firstVisitHospital", firstVisitHospital);
+            //分娩医院
+            String fmHospital = couponMapper.findHospitalNameById(patientsModel.getFmHospital());
+            map.put("fmHospital", StringUtils.isNotEmpty(fmHospital)?fmHospital:"");
+
             map.put("created", bookbuildingCoupon.get("created"));
 
             result.add(map);
@@ -5487,6 +5505,8 @@ public class ReportServiceImpl extends BaseServiceImpl implements IReportService
             resultMap.put("created", map.get("created"));   //建档时间
             resultMap.put("hospitalName", map.get("hospitalName")); //建档社区医院
             resultMap.put("yyzyfmHospitalId", map.get("yyzyfmHospitalId")); //预约分娩医院
+            resultMap.put("firstVisitHospital", map.get("firstVisitHospital")); //初诊医院
+            resultMap.put("fmHospital", map.get("fmHospital")); //分娩医院
             results.add(resultMap);
         }
 
@@ -5498,6 +5518,8 @@ public class ReportServiceImpl extends BaseServiceImpl implements IReportService
         cnames.put("created", "建档时间");   //建档时间
         cnames.put("hospitalName", "建档社区医院"); //建档社区医院
         cnames.put("yyzyfmHospitalId", "预约分娩医院"); //预约分娩医院
+        cnames.put("firstVisitHospital","首次医学建档医院"); //初诊医院
+        cnames.put("fmHospital", "实际分娩医院"); //分娩医院
 
         ResponseUtil.responseExcel(cnames, results, httpServletResponse);
     }