diff --git a/src/api/his.ts b/src/api/his.ts
index 166e3ad..bd08f4b 100644
--- a/src/api/his.ts
+++ b/src/api/his.ts
@@ -18,6 +18,8 @@ import type {
   TongyishuGetResponse,
   InputTongyishuSignSubmit,
   TongyishuSignSubmitResponse,
+  InputDaojiandanInfo,
+  DaojiandanGetResponse,
   InputDaojiandanSignSubmit,
   DaojiandanSignSubmitResponse,
   InputCustomerDetailEdit,
@@ -240,6 +242,18 @@ export const checkNativePaymentStatus = (
   ).then(res => res.data);
 };
 
+/**
+ * 获取体检导检单PDF
+ */
+export const getDaojiandanPdf = (
+  data: InputDaojiandanInfo
+): Promise<DaojiandanGetResponse> => {
+  return request.post<DaojiandanGetResponse>(
+    `${MEDICAL_EXAM_BASE_PATH}/daojiandan-get`,
+    data
+  ).then(res => res.data);
+};
+
 /**
  * 提交体检签名生成导检单PDF
  */
diff --git a/src/api/types.ts b/src/api/types.ts
index 065e120..975c467 100644
--- a/src/api/types.ts
+++ b/src/api/types.ts
@@ -346,6 +346,31 @@ export interface OutputTongyishuSignInfo {
  */
 export type TongyishuSignSubmitResponse = CommonActionResult<OutputTongyishuSignInfo>;
 
+/**
+ * 获取体检导检单PDF入参
+ */
+export interface InputDaojiandanInfo {
+  /** 体检ID */
+  exam_id: number;
+}
+
+/**
+ * 获取体检导检单PDF出参
+ */
+export interface OutputDaojiandanInfo {
+  /** 导检单文件名称 */
+  pdf_name?: string | null;
+  /** 导检单PDF文件地址 */
+  pdf_url?: string | null;
+  /** 提示信息 */
+  message?: string | null;
+}
+
+/**
+ * 获取体检导检单PDF响应
+ */
+export type DaojiandanGetResponse = CommonActionResult<OutputDaojiandanInfo>;
+
 /**
  * 提交体检签名生成导检单PDF入参
  */
diff --git a/src/components/exam/ExamPrintPanel.tsx b/src/components/exam/ExamPrintPanel.tsx
index 731eb39..cb1ed5f 100644
--- a/src/components/exam/ExamPrintPanel.tsx
+++ b/src/components/exam/ExamPrintPanel.tsx
@@ -1,8 +1,8 @@
 import { useEffect, useRef, useState } from 'react';
 
-import { submitDaojiandanSign } from '../../api';
+import { getDaojiandanPdf as getDaojiandanPdfApi, submitDaojiandanSign } from '../../api';
 import type { ExamClient } from '../../data/mockData';
-import { setExamActionRecord } from '../../utils/examActions';
+import { setExamActionRecord, setDaojiandanPdf, getDaojiandanPdf } from '../../utils/examActions';
 import type { SignaturePadHandle } from '../ui';
 import { Button, SignaturePad } from '../ui';
 
@@ -15,6 +15,8 @@ export const ExamPrintPanel = ({ client }: { client: ExamClient }) => {
   const [signatureSubmitted, setSignatureSubmitted] = useState(false);
   const [submitLoading, setSubmitLoading] = useState(false);
   const [submitMessage, setSubmitMessage] = useState<string | null>(null);
+  const [showPreview, setShowPreview] = useState(false);
+  const [fetchLoading, setFetchLoading] = useState(false);
   const signaturePadRef = useRef<SignaturePadHandle | null>(null);
   const printRef = useRef<HTMLDivElement>(null);
   const iframeRef = useRef<HTMLIFrameElement>(null);
@@ -47,7 +49,14 @@ export const ExamPrintPanel = ({ client }: { client: ExamClient }) => {
       if (res.Status === 200 && res.Data?.pdf_url) {
         setSubmitMessage('签名提交成功，正在加载导检单...');
         setSignatureSubmitted(true);
-        setPdfUrl(res.Data.pdf_url);
+        const pdfUrlValue = res.Data.pdf_url;
+        const pdfNameValue = res.Data.pdf_name || '导检单';
+        setPdfUrl(pdfUrlValue);
+        // 保存导检单PDF信息到localStorage
+        setDaojiandanPdf(examId, {
+          pdf_name: pdfNameValue,
+          pdf_url: pdfUrlValue,
+        });
         // 记录打印导检单是否签名操作
         setExamActionRecord(examId, 'printSign', true);
       } else {
@@ -61,6 +70,62 @@ export const ExamPrintPanel = ({ client }: { client: ExamClient }) => {
     }
   };
 
+  // 组件加载时检查localStorage，如果有则直接展示
+  useEffect(() => {
+    const examId = Number(client.id);
+    if (!examId) return;
+
+    const storedPdf = getDaojiandanPdf(examId);
+    if (storedPdf && storedPdf.pdf_url) {
+      setPdfUrl(storedPdf.pdf_url);
+      setShowPreview(true);
+    }
+  }, [client.id]);
+
+  // 获取导检单PDF（优先使用localStorage，没有则调用接口）
+  const handleFetchPdf = async () => {
+    const examId = Number(client.id);
+    if (!examId) {
+      setError('无效的体检ID');
+      return;
+    }
+
+    setFetchLoading(true);
+    setError(null);
+
+    try {
+      // 先尝试从localStorage获取
+      const storedPdf = getDaojiandanPdf(examId);
+      if (storedPdf && storedPdf.pdf_url) {
+        setPdfUrl(storedPdf.pdf_url);
+        setShowPreview(true);
+        setFetchLoading(false);
+        return;
+      }
+
+      // 如果没有存储的，则调用接口获取
+      const res = await getDaojiandanPdfApi({ exam_id: examId });
+      if (res.Status === 200 && res.Data?.pdf_url) {
+        const pdfUrlValue = res.Data.pdf_url;
+        const pdfNameValue = res.Data.pdf_name || '导检单';
+        setPdfUrl(pdfUrlValue);
+        // 保存到localStorage
+        setDaojiandanPdf(examId, {
+          pdf_name: pdfNameValue,
+          pdf_url: pdfUrlValue,
+        });
+        setShowPreview(true);
+      } else {
+        setError(res.Message || '获取导检单失败');
+      }
+    } catch (err) {
+      console.error('获取导检单失败', err);
+      setError('获取导检单失败，请稍后重试');
+    } finally {
+      setFetchLoading(false);
+    }
+  };
+
   useEffect(() => {
     if (!pdfUrl) return;
 
@@ -110,7 +175,7 @@ export const ExamPrintPanel = ({ client }: { client: ExamClient }) => {
           <div>
             <div className='text-sm font-semibold'>圆和医疗体检中心 · 导检单预览</div>
             <div className='text-[11px] text-gray-500 mt-1'>
-              {signatureSubmitted
+              {signatureSubmitted || showPreview
                 ? '此为预览页面，实际打印效果以院内打印机为准。'
                 : '请先完成签名，签名后将生成导检单PDF'}
             </div>
@@ -120,6 +185,38 @@ export const ExamPrintPanel = ({ client }: { client: ExamClient }) => {
               <div>体检号：{client.id}</div>
               <div>日期：{new Date().toLocaleDateString('zh-CN')}</div>
             </div>
+            {!showPreview && !signatureSubmitted && (
+              <Button
+                className='px-4 py-1.5 text-xs bg-blue-600 hover:bg-blue-700 text-white disabled:opacity-50 disabled:cursor-not-allowed'
+                onClick={handleFetchPdf}
+                disabled={fetchLoading}
+              >
+                {fetchLoading ? '加载中...' : '查看'}
+              </Button>
+            )}
+            {showPreview && !signatureSubmitted && (
+              <>
+                <Button
+                  className='px-4 py-1.5 text-xs bg-gray-600 hover:bg-gray-700 text-white'
+                  onClick={() => {
+                    setShowPreview(false);
+                    setPdfUrl(null);
+                    setPdfBlobUrl(null);
+                    setPdfReady(false);
+                    setError(null);
+                  }}
+                >
+                  签名
+                </Button>
+                <Button
+                  className='px-4 py-1.5 text-xs bg-blue-600 hover:bg-blue-700 text-white disabled:opacity-50 disabled:cursor-not-allowed'
+                  onClick={handlePrint}
+                  disabled={loading || !pdfReady || !pdfUrl}
+                >
+                  打印
+                </Button>
+              </>
+            )}
             {signatureSubmitted && (
               <Button
                 className='px-4 py-1.5 text-xs bg-blue-600 hover:bg-blue-700 text-white disabled:opacity-50 disabled:cursor-not-allowed'
@@ -132,7 +229,7 @@ export const ExamPrintPanel = ({ client }: { client: ExamClient }) => {
           </div>
         </div>
 
-        {!signatureSubmitted ? (
+        {!signatureSubmitted && !showPreview ? (
           <div className='flex flex-col gap-4'>
             <div className='text-sm font-medium text-gray-900'>请在下方区域签名</div>
             <div className='ui7-signature-wrapper border rounded-xl overflow-hidden bg-gray-50'>
@@ -169,6 +266,10 @@ export const ExamPrintPanel = ({ client }: { client: ExamClient }) => {
               </Button>
             </div>
           </div>
+        ) : fetchLoading ? (
+          <div className='flex items-center justify-center py-12 text-gray-500'>
+            <div>正在加载导检单...</div>
+          </div>
         ) : loading ? (
           <div className='flex items-center justify-center py-12 text-gray-500'>
             <div>正在加载PDF...</div>
@@ -176,17 +277,30 @@ export const ExamPrintPanel = ({ client }: { client: ExamClient }) => {
         ) : error ? (
           <div className='flex flex-col items-center justify-center py-12 text-gray-500'>
             <div className='mb-2'>{error}</div>
-            <Button
-              className='px-4 py-1.5 text-xs'
-              onClick={() => {
-                setError(null);
-                setPdfUrl(null);
-                setSignatureSubmitted(false);
-                signaturePadRef.current?.clear();
-              }}
-            >
-              重新签名
-            </Button>
+            {signatureSubmitted ? (
+              <Button
+                className='px-4 py-1.5 text-xs'
+                onClick={() => {
+                  setError(null);
+                  setPdfUrl(null);
+                  setSignatureSubmitted(false);
+                  setShowPreview(false);
+                  signaturePadRef.current?.clear();
+                }}
+              >
+                重新签名
+              </Button>
+            ) : (
+              <Button
+                className='px-4 py-1.5 text-xs'
+                onClick={() => {
+                  setError(null);
+                  setShowPreview(false);
+                }}
+              >
+                关闭
+              </Button>
+            )}
           </div>
         ) : pdfUrl ? (
           <div className='w-full'>
diff --git a/src/utils/clean.ts b/src/utils/clean.ts
index 4305a5d..95cb6b4 100644
--- a/src/utils/clean.ts
+++ b/src/utils/clean.ts
@@ -14,6 +14,7 @@ const CLEAN_LAST_TIME_KEY = 'yh_local_clean_last_time';
  *   - yh_tongyishu_pdf_list_2025-12-24_100057962
  *   - yh_exam_actions_2025-12-24_100057962
  *   - yh_signed_consents_2025-12-24
+ *   - yh_daojiandan_pdf_2025-12-24_100057962
  */
 export const cleanLocalStorageIfNeeded = (): void => {
   if (typeof window === 'undefined' || !window.localStorage) return;
@@ -62,6 +63,16 @@ export const cleanLocalStorageIfNeeded = (): void => {
       }
       continue;
     }
+
+    // 匹配 yh_daojiandan_pdf_YYYY-MM-DD_xxx
+    const matchDaojiandan = key.match(/^yh_daojiandan_pdf_(\d{4}-\d{2}-\d{2})_/);
+    if (matchDaojiandan) {
+      const date = matchDaojiandan[1];
+      if (date !== today) {
+        keysToRemove.push(key);
+      }
+      continue;
+    }
   }
 
   // 执行删除
diff --git a/src/utils/examActions.ts b/src/utils/examActions.ts
index d12936e..ac1799e 100644
--- a/src/utils/examActions.ts
+++ b/src/utils/examActions.ts
@@ -138,3 +138,53 @@ export const getTongyishuPdfList = (examId: string | number): TongyishuPdfInfo[]
   }
 };
 
+/**
+ * 导检单PDF信息
+ */
+export interface DaojiandanPdfInfo {
+  /** PDF文件名称 */
+  pdf_name: string;
+  /** PDF文件地址 */
+  pdf_url: string;
+}
+
+/**
+ * 获取导检单PDF的存储 key
+ */
+export const getDaojiandanPdfKey = (examId: string | number): string => {
+  const today = getTodayString();
+  return `yh_daojiandan_pdf_${today}_${examId}`;
+};
+
+/**
+ * 存储导检单PDF信息
+ */
+export const setDaojiandanPdf = (
+  examId: string | number,
+  pdfInfo: DaojiandanPdfInfo
+): void => {
+  if (typeof window === 'undefined') return;
+  
+  const key = getDaojiandanPdfKey(examId);
+  localStorage.setItem(key, JSON.stringify(pdfInfo));
+};
+
+/**
+ * 获取导检单PDF信息
+ */
+export const getDaojiandanPdf = (examId: string | number): DaojiandanPdfInfo | null => {
+  if (typeof window === 'undefined') return null;
+  
+  const key = getDaojiandanPdfKey(examId);
+  const raw = localStorage.getItem(key);
+  if (!raw) return null;
+  
+  try {
+    const parsed = JSON.parse(raw);
+    return parsed as DaojiandanPdfInfo;
+  } catch (err) {
+    console.warn('导检单PDF信息解析失败', err);
+    return null;
+  }
+};
+