diff --git a/src/components/modals/MealRegistrationModal.tsx b/src/components/modals/MealRegistrationModal.tsx
index fde8b0c..3457c34 100644
--- a/src/components/modals/MealRegistrationModal.tsx
+++ b/src/components/modals/MealRegistrationModal.tsx
@@ -1,24 +1,101 @@
-import type { ExamClient } from '../../data/mockData';
-import { EXAM_CLIENTS } from '../../data/mockData';
+import { useEffect, useState } from 'react';
+
+import type { PoPhysicalExamDiningLog } from '../../api';
+import { getPhysicalExamDiningList, registerPhysicalExamDining } from '../../api';
 import { InfoCard } from '../ui';
 
 interface MealRegistrationModalProps {
   onClose: () => void;
-  totalExamCount: number;
-  mealCount: number;
-  notMealCount: number;
-  mealDoneIds: string[];
-  onMealDone: (id: string) => void;
 }
 
-export const MealRegistrationModal = ({
-  onClose,
-  totalExamCount,
-  mealCount,
-  notMealCount,
-  mealDoneIds,
-  onMealDone,
-}: MealRegistrationModalProps) => {
+export const MealRegistrationModal = ({ onClose }: MealRegistrationModalProps) => {
+  const [diningType, setDiningType] = useState<number>(1); // 1-全部 2-已用餐 3-未用餐
+  const [loading, setLoading] = useState(false);
+  const [error, setError] = useState<string | null>(null);
+  const [diningData, setDiningData] = useState<{
+    today_exam_count: number;
+    dined_count: number;
+    not_dined_count: number;
+    DiningList: PoPhysicalExamDiningLog[];
+  } | null>(null);
+  const [registeringIds, setRegisteringIds] = useState<Set<number>>(new Set());
+
+  // 获取用餐列表
+  useEffect(() => {
+    const fetchDiningList = async () => {
+      setLoading(true);
+      setError(null);
+      try {
+        const res = await getPhysicalExamDiningList({ dining_type: diningType });
+        if (res.Status === 200 && res.Data) {
+          setDiningData({
+            today_exam_count: res.Data.today_exam_count || 0,
+            dined_count: res.Data.dined_count || 0,
+            not_dined_count: res.Data.not_dined_count || 0,
+            DiningList: res.Data.DiningList || [],
+          });
+        } else {
+          setError(res.Message || '获取用餐列表失败');
+        }
+      } catch (err) {
+        console.error('获取用餐列表失败', err);
+        setError('获取用餐列表失败，请稍后重试');
+      } finally {
+        setLoading(false);
+      }
+    };
+
+    fetchDiningList();
+  }, [diningType]);
+
+  // 处理用餐登记
+  const handleMealToggle = async (item: PoPhysicalExamDiningLog) => {
+    if (!item.physical_exam_id || !item.exam_no || !item.customer_name) {
+      return;
+    }
+
+    const examId = item.physical_exam_id;
+    const isCurrentlyDined = item.is_dining === 1;
+
+    // 如果已经用餐，则不处理（取消用餐可能需要其他接口）
+    if (isCurrentlyDined) {
+      return;
+    }
+
+    setRegisteringIds((prev) => new Set(prev).add(examId));
+    try {
+      const res = await registerPhysicalExamDining({
+        physical_exam_id: examId,
+        exam_no: item.exam_no,
+        customer_name: item.customer_name,
+      });
+
+      if (res.Status === 200) {
+        // 刷新列表
+        const refreshRes = await getPhysicalExamDiningList({ dining_type: diningType });
+        if (refreshRes.Status === 200 && refreshRes.Data) {
+          setDiningData({
+            today_exam_count: refreshRes.Data.today_exam_count || 0,
+            dined_count: refreshRes.Data.dined_count || 0,
+            not_dined_count: refreshRes.Data.not_dined_count || 0,
+            DiningList: refreshRes.Data.DiningList || [],
+          });
+        }
+      } else {
+        setError(res.Message || '用餐登记失败');
+      }
+    } catch (err) {
+      console.error('用餐登记失败', err);
+      setError('用餐登记失败，请稍后重试');
+    } finally {
+      setRegisteringIds((prev) => {
+        const next = new Set(prev);
+        next.delete(examId);
+        return next;
+      });
+    }
+  };
+
   return (
     <div className='fixed inset-0 z-40 flex items-center justify-center bg-black/30'>
       <div className='w-[560px] max-w-[95vw] bg-white rounded-3xl shadow-xl overflow-hidden text-sm'>
@@ -30,30 +107,83 @@ export const MealRegistrationModal = ({
         </div>
         <div className='px-4 py-4 bg-gray-50/60'>
           <div className='space-y-3'>
-            <div className='grid grid-cols-3 gap-3 text-xs'>
-              <InfoCard label='今日体检人数' value={totalExamCount} />
-              <InfoCard label='已用餐人数' value={mealCount} />
-              <InfoCard label='未用餐人数' value={notMealCount} />
+            {/* 筛选按钮 */}
+            <div className='flex items-center gap-2'>
+              <button
+                className={`px-3 py-1 rounded-2xl border text-xs ${diningType === 1 ? 'bg-blue-600 text-white border-blue-600' : 'bg-white text-gray-700'
+                  }`}
+                onClick={() => setDiningType(1)}
+              >
+                全部
+              </button>
+              <button
+                className={`px-3 py-1 rounded-2xl border text-xs ${diningType === 2 ? 'bg-blue-600 text-white border-blue-600' : 'bg-white text-gray-700'
+                  }`}
+                onClick={() => setDiningType(2)}
+              >
+                已用餐
+              </button>
+              <button
+                className={`px-3 py-1 rounded-2xl border text-xs ${diningType === 3 ? 'bg-blue-600 text-white border-blue-600' : 'bg-white text-gray-700'
+                  }`}
+                onClick={() => setDiningType(3)}
+              >
+                未用餐
+              </button>
+            </div>
+
+            {/* 统计信息 */}
+            {diningData && (
+              <div className='grid grid-cols-3 gap-3 text-xs'>
+                <InfoCard label='今日体检人数' value={diningData.today_exam_count} />
+                <InfoCard label='已用餐人数' value={diningData.dined_count} />
+                <InfoCard label='未用餐人数' value={diningData.not_dined_count} />
+              </div>
+            )}
+
+            {/* 错误提示 */}
+            {error && <div className='text-xs text-amber-600'>{error}</div>}
+
+            {/* 客户列表 */}
+            <div className='text-xs text-gray-600 mt-2 mb-1'>
+              {diningType === 1 && '选择已用餐客户进行登记：'}
+              {diningType === 2 && '已用餐客户列表：'}
+              {diningType === 3 && '选择未用餐客户进行登记：'}
             </div>
-            <div className='text-xs text-gray-600 mt-2 mb-1'>选择已用餐客户进行登记：</div>
             <div className='max-h-60 overflow-auto border rounded-2xl bg-white p-2 text-xs'>
-              {EXAM_CLIENTS.map((c: ExamClient) => {
-                const checked = mealDoneIds.includes(c.id);
-                return (
-                  <label
-                    key={c.id}
-                    className='flex items-center justify-between px-3 py-1.5 rounded-2xl hover:bg-gray-50 cursor-pointer'
-                  >
-                    <span>
-                      {c.name} <span className='text-gray-400 text-[11px]'>({c.id})</span>
-                    </span>
-                    <span className='flex items-center gap-2'>
-                      <span className='text-gray-400'>{c.status}</span>
-                      <input type='checkbox' checked={checked} onChange={() => onMealDone(c.id)} />
-                    </span>
-                  </label>
-                );
-              })}
+              {loading ? (
+                <div className='flex items-center justify-center py-4 text-gray-500'>加载中...</div>
+              ) : diningData && diningData.DiningList.length > 0 ? (
+                diningData.DiningList.map((item) => {
+                  const isDined = item.is_dining === 1;
+                  const isRegistering = item.physical_exam_id ? registeringIds.has(item.physical_exam_id) : false;
+                  const canToggle = !isDined && !isRegistering;
+
+                  return (
+                    <label
+                      key={item.physical_exam_id || item.exam_no}
+                      className={`flex items-center justify-between px-3 py-1.5 rounded-2xl ${canToggle ? 'hover:bg-gray-50 cursor-pointer' : 'cursor-not-allowed opacity-60'
+                        }`}
+                    >
+                      <span>
+                        {item.customer_name || '未知'} <span className='text-gray-400 text-[11px]'>({item.exam_no || 'N/A'})</span>
+                      </span>
+                      <span className='flex items-center gap-2'>
+                        <span className='text-gray-400'>{item.physical_exam_status_name || '未知状态'}</span>
+                        <input
+                          type='checkbox'
+                          checked={isDined}
+                          disabled={!canToggle || isRegistering}
+                          onChange={() => handleMealToggle(item)}
+                        />
+                        {isRegistering && <span className='text-[11px] text-gray-400'>登记中...</span>}
+                      </span>
+                    </label>
+                  );
+                })
+              ) : (
+                <div className='flex items-center justify-center py-4 text-gray-500'>暂无数据</div>
+              )}
             </div>
           </div>
         </div>
diff --git a/src/components/modals/QuickActionModal.tsx b/src/components/modals/QuickActionModal.tsx
index 85143cd..afc4131 100644
--- a/src/components/modals/QuickActionModal.tsx
+++ b/src/components/modals/QuickActionModal.tsx
@@ -8,11 +8,6 @@ interface QuickActionModalProps {
   noteText: string;
   onNoteChange: (v: string) => void;
   onClose: () => void;
-  totalExamCount: number;
-  mealCount: number;
-  notMealCount: number;
-  mealDoneIds: string[];
-  onMealDone: (id: string) => void;
 }
 
 export const QuickActionModal = ({
@@ -20,27 +15,13 @@ export const QuickActionModal = ({
   noteText,
   onNoteChange,
   onClose,
-  totalExamCount,
-  mealCount,
-  notMealCount,
-  mealDoneIds,
-  onMealDone,
 }: QuickActionModalProps) => {
   if (action === 'none') {
     return null;
   }
 
   if (action === 'meal') {
-    return (
-      <MealRegistrationModal
-        onClose={onClose}
-        totalExamCount={totalExamCount}
-        mealCount={mealCount}
-        notMealCount={notMealCount}
-        mealDoneIds={mealDoneIds}
-        onMealDone={onMealDone}
-      />
-    );
+    return <MealRegistrationModal onClose={onClose} />;
   }
 
   if (action === 'note') {
diff --git a/src/layouts/MainLayout.tsx b/src/layouts/MainLayout.tsx
index 7b1c24e..cd6c2bc 100644
--- a/src/layouts/MainLayout.tsx
+++ b/src/layouts/MainLayout.tsx
@@ -2,7 +2,6 @@ import { Outlet, useLocation, useNavigate } from 'react-router-dom';
 import { useEffect, useMemo, useState } from 'react';
 
 import type { QuickActionType } from '../data/mockData';
-import { EXAM_CLIENTS } from '../data/mockData';
 import { QuickActionModal } from '../components/modals/QuickActionModal';
 import { LoginModal } from '../components/modals/LoginModal';
 import { Sidebar, type SectionKey } from '../components/layout/Sidebar';
@@ -34,13 +33,6 @@ export const MainLayout = () => {
   const [noteText, setNoteText] = useState('');
   const [loginModalOpen, setLoginModalOpen] = useState(false);
   const [operatorName, setOperatorName] = useState<string>('');
-  const [mealDoneIds, setMealDoneIds] = useState<string[]>(
-    EXAM_CLIENTS.filter((c) => c.status === '用餐').map((c) => c.id),
-  );
-
-  const totalExamCount = EXAM_CLIENTS.length;
-  const mealCount = mealDoneIds.length;
-  const notMealCount = totalExamCount - mealCount;
 
   const navigate = useNavigate();
   const location = useLocation();
@@ -54,10 +46,6 @@ export const MainLayout = () => {
     navigate(sectionToRoute[section]);
   };
 
-  const handleMealDone = (id: string) => {
-    setMealDoneIds((prev) => (prev.includes(id) ? prev : prev.concat(id)));
-  };
-
   const handleLoginSuccess = (phone: string) => {
     // 实际项目中应该从后端获取用户信息
     // 这里暂时使用手机号后4位作为操作员名称
@@ -106,11 +94,6 @@ export const MainLayout = () => {
           noteText={noteText}
           onNoteChange={setNoteText}
           onClose={() => setQuickAction('none')}
-          totalExamCount={totalExamCount}
-          mealCount={mealCount}
-          notMealCount={notMealCount}
-          mealDoneIds={mealDoneIds}
-          onMealDone={handleMealDone}
         />
       )}
     </div>