diff --git a/yudao-module-inspect/yudao-module-inspect-biz/pom.xml b/yudao-module-inspect/yudao-module-inspect-biz/pom.xml
index 259ec43..1572da7 100644
--- a/yudao-module-inspect/yudao-module-inspect-biz/pom.xml
+++ b/yudao-module-inspect/yudao-module-inspect-biz/pom.xml
@@ -84,5 +84,29 @@
             <artifactId>poi-ooxml</artifactId>
             <version>5.2.3</version>
         </dependency>
+
+        <!-- jodconverter -->
+        <dependency>
+            <groupId>org.jodconverter</groupId>
+            <artifactId>jodconverter-core</artifactId>
+            <version>4.2.0</version>
+        </dependency>
+        <dependency>
+            <groupId>org.jodconverter</groupId>
+            <artifactId>jodconverter-local</artifactId>
+            <version>4.2.0</version>
+        </dependency>
+        <dependency>
+            <groupId>org.jodconverter</groupId>
+            <artifactId>jodconverter-spring-boot-starter</artifactId>
+            <version>4.2.0</version>
+        </dependency>
+
+        <!-- libreoffice -->
+        <dependency>
+            <groupId>org.libreoffice</groupId>
+            <artifactId>ridl</artifactId>
+            <version>5.4.2</version>
+        </dependency>
     </dependencies>
 </project>
\ No newline at end of file
diff --git a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java
index 2135a3e..b69d7c7 100644
--- a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java
+++ b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/controller/admin/inspectpatient/InspectPatientController.java
@@ -656,14 +656,14 @@ public class InspectPatientController {
 
     @GetMapping("/createPatientInspectDataReport")
     @Operation(summary = "创建患者体检报告单")
-    public CommonResult<Map<String, Object>> createPatientInspectDataReport(String medicalSn) {
+    public CommonResult<Map<String, Object>> createPatientInspectDataReport(@RequestParam String medicalSn) {
         Map<String, Object> outRes = patientService.createPatientInspectDataReport(medicalSn);
         return success(outRes);
     }
 
     @GetMapping("/getPatientInspectDataReport")
     @Operation(summary = "获取患者体检报告单")
-    public CommonResult<Map<String, Object>> getPatientInspectDataReport(String medicalSn) {
+    public CommonResult<Map<String, Object>> getPatientInspectDataReport(@RequestParam String medicalSn) {
         patientService.getPatientInspectDataReport(medicalSn);
         return success(null);
     }
diff --git a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatient/InspectPatientServiceImpl.java b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatient/InspectPatientServiceImpl.java
index 661f96c..2477b98 100644
--- a/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatient/InspectPatientServiceImpl.java
+++ b/yudao-module-inspect/yudao-module-inspect-biz/src/main/java/cn/iocoder/yudao/module/inspect/service/inspectpatient/InspectPatientServiceImpl.java
@@ -20,6 +20,10 @@ import freemarker.template.Template;
 import org.apache.pdfbox.pdmodel.PDDocument;
 import org.apache.pdfbox.rendering.PDFRenderer;
 import org.apache.poi.xwpf.usermodel.*;
+import org.jodconverter.DocumentConverter;
+import org.jodconverter.LocalConverter;
+import org.jodconverter.document.DefaultDocumentFormatRegistry;
+import org.jodconverter.office.LocalOfficeManager;
 import org.springframework.beans.factory.annotation.Value;
 import org.springframework.stereotype.Service;
 import org.springframework.validation.annotation.Validated;
@@ -361,7 +365,10 @@ public class InspectPatientServiceImpl implements InspectPatientService {
         }};
         XWPFDocument document = null;
         FileInputStream fis = null;
-        FileOutputStream fos = null;
+        ByteArrayOutputStream fos = null;
+        InputStream fos_in = null;
+        LocalOfficeManager officeManager = null;
+        DocumentConverter converter = null;
         try {
             //参数校验
             if (medicalSn == null || medicalSn.trim().equals("")) {
@@ -451,6 +458,7 @@ public class InspectPatientServiceImpl implements InspectPatientService {
             //其它参数
             ConfigDO configInfo_bgmb = configService.getConfigByKey("url.bgmb");
             ConfigDO configInfo_bgcf = configService.getConfigByKey("url.bgcf");
+            ConfigDO configInfo_LibreOffice = configService.getConfigByKey("url.LibreOffice");
             String ageStr = "";
             String pnameStr = "";
             if (patientInfo != null) {
@@ -559,18 +567,42 @@ public class InspectPatientServiceImpl implements InspectPatientService {
                 throw new Exception("模板内容数据为空！");
             }
 
-            //保存word
-            String fosPath_file = new SimpleDateFormat("yyyyMMdd_HHmmss").format(new Date()) + ".docx";
+            //保存文件
+            String fosPath_file = new SimpleDateFormat("yyyyMMdd_HHmmss").format(new Date()) + ".pdf";
             String fosPath = configInfo_bgcf.getValue() + "\\" + fosPath_file;
-            outRes.put("msg", "https://pacs.gw12320.com/video/" + fosPath_file);
-            fos = new FileOutputStream(fosPath);
+
+            fos = new ByteArrayOutputStream();
             document.write(fos);
-            File file = new File(fosPath);
-            file.setReadOnly();
+            fos_in = new ByteArrayInputStream(fos.toByteArray());
+            officeManager = LocalOfficeManager.builder()
+                    .officeHome(configInfo_LibreOffice.getValue() + "\\")
+                    .portNumbers(8131)
+                    .maxTasksPerProcess(100)
+                    .build();
+            officeManager.start();
+            converter = LocalConverter.make(officeManager);
+            converter.convert(fos_in)
+                    .as(DefaultDocumentFormatRegistry.DOCX)
+                    .to(new File(fosPath))
+                    .as(DefaultDocumentFormatRegistry.PDF)
+                    .execute();
+
+            outRes.put("msg", "https://pacs.gw12320.com/video/" + fosPath_file);
         } catch (Exception ex) {
             outRes.put("code", -200);
             outRes.put("msg", "");
         } finally {
+            try {
+                if (officeManager != null && officeManager.isRunning()) {
+                    officeManager.stop();
+                }
+            } catch (Exception e) {
+            }
+            try {
+                if (fos_in != null)
+                    fos_in.close();
+            } catch (Exception e) {
+            }
             try {
                 if (fos != null)
                     fos.close();