diff --git a/clinical-web/src/components/signing/SigningDocumentInteractive.vue b/clinical-web/src/components/signing/SigningDocumentInteractive.vue
index 8f1c2b0..19e6d86 100644
--- a/clinical-web/src/components/signing/SigningDocumentInteractive.vue
+++ b/clinical-web/src/components/signing/SigningDocumentInteractive.vue
@@ -100,7 +100,7 @@ defineExpose({ getDocumentElement })
 <template>
   <article class="sign-doc">
     <div class="sign-doc-banner">
-      <span>已按任务固化的文书版本渲染（填写项已按患者信息预填）</span>
+      <span></span>
       <span class="sign-doc-state" :class="{ 'is-void': task.status === 'void' }">
         {{ signatureStateLabel }}
       </span>
diff --git a/patient-h5/src/api/index.ts b/patient-h5/src/api/index.ts
index 33509a9..7f162cb 100644
--- a/patient-h5/src/api/index.ts
+++ b/patient-h5/src/api/index.ts
@@ -5,6 +5,7 @@ import type {
   ApiResponse,
   SignatureUploadInput,
   SignatureUploadResponse,
+  SigningContextResponse,
   TokenConsumeRequest,
   TokenConsumeResponse,
 } from './types'
@@ -19,6 +20,21 @@ export function consumeSigningToken(payload: TokenConsumeRequest): Promise<Token
     .then(unwrapApiResponse)
 }
 
+/**
+ * 读取本次签署的完整上下文：患者信息 / 签署人 / 文书正文 / 医生已填结果。
+ *
+ * 契约见 `.workbuddy-ai/患者端H5真实接入方案-2026-09-28.md` 第三节。
+ * **后端就绪前这个调用会失败**，所以调用方必须能优雅降级 ——
+ * 拿不到正文就不能放行签署（见 `useSignFlow` 的 `documentError`）。
+ */
+export function fetchSigningContext(token: string): Promise<SigningContextResponse> {
+  return request
+    .get<ApiResponse<SigningContextResponse>>('/v1/sign-deliveries/token/context', {
+      params: { token },
+    })
+    .then(unwrapApiResponse)
+}
+
 function createIdempotencyKey(value?: string) {
   if (value) {
     return value
diff --git a/patient-h5/src/api/types.ts b/patient-h5/src/api/types.ts
index 9b04ec7..cf2a174 100644
--- a/patient-h5/src/api/types.ts
+++ b/patient-h5/src/api/types.ts
@@ -6,10 +6,20 @@ export interface ApiResponse<T> {
   timestamp?: string
 }
 
-export type SignDeliveryChannel = 'PAD' | 'SMS'
+/**
+ * 投递渠道。
+ *
+ * - `PAD`：现场手写板，设备上跑的就是本 H5；
+ * - `SMS`：短信链接；
+ * - `WX`：微信公众号（2026-09-28 补 —— 原契约只有 PAD / SMS，公众号一直没落点）。
+ *
+ * 注意 **Pad 移动端签署不走这里**：那是在医护端工作台里用平板现场签的，不产生投递。
+ */
+export type SignDeliveryChannel = 'PAD' | 'SMS' | 'WX'
 
 export interface TokenConsumeRequest {
   token: string
+  /** 允许不传：渠道由 token 决定，前端不该替后端写死一个 */
   channel?: SignDeliveryChannel
   taskId?: string
 }
@@ -23,6 +33,82 @@ export interface TokenConsumeResponse {
   timestamp?: string | null
 }
 
+/** 患者端看到的任务状态。不是 `WAITING_SIGN` 时不该放行签署 */
+export type SigningTaskSignStatus =
+  | 'WAITING_SIGN'
+  | 'SIGNED'
+  | 'EXPIRED'
+  | 'VOIDED'
+  | 'FAILED'
+  | string
+
+export interface SigningContextPatient {
+  name?: string | null
+  sex?: string | null
+  age?: number | null
+  visitNo?: string | null
+  department?: string | null
+}
+
+/** 签署人信息。按业务口径由医生在医护端填好，患者端只展示、不修改 */
+export interface SigningContextSigner {
+  /** `SELF` = 本人；`FAMILY` = 家属代签 */
+  type?: string | null
+  name?: string | null
+  relation?: string | null
+}
+
+export interface SigningContextTemplate {
+  name?: string | null
+  category?: string | null
+  versionNo?: string | null
+}
+
+export interface SigningContextDocument {
+  contentHtml?: string | null
+  contentSha256?: string | null
+}
+
+export interface SigningContextFieldOption {
+  value: string
+  label?: string | null
+}
+
+export interface SigningContextField {
+  id: string
+  label?: string | null
+  kind?: string | null
+  required?: boolean | null
+  options?: SigningContextFieldOption[] | null
+}
+
+/**
+ * 患者端读取本次签署的完整上下文。
+ *
+ * 与 `token/consume` 的职责**分开**：consume 是「消费一次」换投递凭证，
+ * 这个接口要能**重复调用**（患者刷新、返回上一步都要能重进）。
+ */
+export interface SigningContextResponse {
+  taskId: string
+  deliveryId?: string | null
+  channel?: SignDeliveryChannel | null
+  status?: SigningTaskSignStatus | null
+  expiresAt?: string | null
+  patient?: SigningContextPatient | null
+  signer?: SigningContextSigner | null
+  template?: SigningContextTemplate | null
+  document?: SigningContextDocument | null
+  /**
+   * 医生已填的结果（含医师签名图），患者端**只读**渲染进正文占位符。
+   *
+   * 刻意与 `document.contentHtml` 分开：医生填了什么要能单独追溯，
+   * 烙进正文 HTML 就查不出「谁在什么时候填了什么」。
+   */
+  staffAnswers?: Record<string, string> | null
+  /** 患者端可交互的字段。按约定只有主签名位（`id === 'signature'`） */
+  fields?: SigningContextField[] | null
+}
+
 export type SignatureUploadStatus =
   'CREATED' | 'WAITING_SIGN' | 'SIGNED' | 'EXPIRED' | 'VOIDED' | 'GENERATING' | 'FAILED' | string
 
diff --git a/patient-h5/src/components/DocumentPaper.vue b/patient-h5/src/components/DocumentPaper.vue
new file mode 100644
index 0000000..5fe636d
--- /dev/null
+++ b/patient-h5/src/components/DocumentPaper.vue
@@ -0,0 +1,237 @@
+<script setup lang="ts">
+/**
+ * 患者端文书纸。
+ *
+ * 与 clinical-web 的 `components/document/DocumentPaper.vue` 是**两份独立实现**：
+ * 那边排的是 A4 纸（打印与 PDF 导出要对齐），这边排的是手机屏（大字、宽行距、可滚动），
+ * 排版目标不同，硬复用只会两头都别扭。
+ *
+ * 真正共用的是**占位符约定**（`<span data-field data-kind data-label>`），
+ * 由 clinical-web 的 `utils/signing-fields.ts` 写入正文 —— 改那边要同步看这里。
+ *
+ * 填充口径（本次业务口径：医生先填好，患者只签自己的名）：
+ * - 医生已填的字段（勾选项 / 文本 / 医师签名）→ **只读**渲染；
+ * - 患者自己的签名位（`id === patientFieldId`）→ 未签时显示「待患者签名」占位。
+ */
+import { nextTick, onMounted, ref, watch } from 'vue'
+
+const props = withDefaults(
+  defineProps<{
+    /** 文书正文 HTML（含占位符），由 context 接口返回 */
+    contentHtml: string
+    /** 医生已填的结果：键是字段 id，值是文本或签名图地址 */
+    answers?: Record<string, string>
+    /** 患者签名图。签署完成后回填到患者签名位 */
+    patientSignature?: string | null
+    /** 患者签名位的字段 id（与 clinical-web 的 PRIMARY_SIGNATURE_FIELD_ID 同口径） */
+    patientFieldId?: string
+  }>(),
+  {
+    answers: () => ({}),
+    patientSignature: null,
+    patientFieldId: 'signature',
+  },
+)
+
+const paperRef = ref<HTMLElement | null>(null)
+
+/** 勾选值判定：空串 / '0' / 'false' / 'off' 都算没勾 */
+function isChecked(value: string) {
+  const raw = value.trim().toLowerCase()
+
+  return raw !== '' && raw !== '0' && raw !== 'false' && raw !== 'off'
+}
+
+/** 看起来像图片地址的值一律当签名图处理（后端给 dataURL 或 URL 都行） */
+function isImageValue(value: string) {
+  return /^(data:image\/|https?:\/\/|\/)/.test(value.trim())
+}
+
+function appendSignatureImage(node: HTMLElement, src: string, alt: string) {
+  node.textContent = ''
+  const image = document.createElement('img')
+  image.className = 'field-signature'
+  image.alt = alt
+  image.src = src
+  node.appendChild(image)
+}
+
+/**
+ * 把结果填进正文占位符。
+ *
+ * 直接在 DOM 上改，而不是在模板里拼 HTML：占位符散落在正文任意位置
+ * （表格单元格里、段落中间都有），`v-html` 渲染完再按 `data-field` 定位是唯一可靠的做法。
+ */
+function paint() {
+  const root = paperRef.value
+
+  if (!root) {
+    return
+  }
+
+  root.querySelectorAll<HTMLElement>('[data-field]').forEach((node) => {
+    const id = node.getAttribute('data-field')?.trim() ?? ''
+    const kind = node.getAttribute('data-kind')?.trim() ?? 'text'
+    const label = (node.getAttribute('data-label') ?? node.textContent ?? '').trim()
+
+    node.classList.remove('is-filled', 'is-empty', 'is-patient-sign')
+
+    // ① 患者自己的签名位：没签就如实显示「待患者签名」，不拿模板标签冒充
+    if (id && id === props.patientFieldId) {
+      node.classList.add('is-patient-sign')
+
+      if (props.patientSignature) {
+        node.classList.add('is-filled')
+        appendSignatureImage(node, props.patientSignature, label || '患者签名')
+      } else {
+        node.classList.add('is-empty')
+        node.textContent = '待患者签名'
+      }
+
+      return
+    }
+
+    const value = (props.answers?.[id] ?? '').trim()
+
+    // ② 没有值：保留模板里的标签文字，只标记成空
+    if (!value) {
+      node.classList.add('is-empty')
+
+      if (label) {
+        node.textContent = label
+      }
+
+      return
+    }
+
+    node.classList.add('is-filled')
+
+    // ③ 签名图（医师签名等）
+    if (kind === 'signature' || isImageValue(value)) {
+      appendSignatureImage(node, value, label || '签名')
+      return
+    }
+
+    // ④ 勾选类：单选一律显示已勾，多选/复选按值判
+    if (kind === 'checkbox' || kind === 'choice') {
+      const checked = kind === 'choice' ? true : isChecked(value)
+      // 值是 1/0 这类占位时回落到标签文字，避免正文里出现一个孤零零的「1」
+      const text = value === '1' || value === '0' ? label || value : value
+
+      node.textContent = `${checked ? '☑' : '☐'} ${text}`
+      return
+    }
+
+    // ⑤ 其余（text / date）按文本显示
+    node.textContent = value
+  })
+}
+
+onMounted(() => {
+  void nextTick(paint)
+})
+
+watch(
+  () => [props.contentHtml, props.answers, props.patientSignature],
+  () => {
+    void nextTick(paint)
+  },
+  { deep: true },
+)
+</script>
+
+<template>
+  <!--
+    正文来自医院自己的文书模板（经后端存储下发），不是用户输入，因此这里用 v-html 渲染。
+    患者端不解析、不执行其中任何脚本 —— 后端下发前应已做清洗。
+  -->
+  <article ref="paperRef" class="patient-paper" v-html="contentHtml" />
+</template>
+
+<style scoped>
+.patient-paper {
+  padding: 18px 16px 22px;
+  color: #173b56;
+  font-size: 16px;
+  line-height: 1.9;
+  overflow-wrap: break-word;
+  background: #fff;
+  border-radius: 18px;
+  box-shadow: 0 12px 30px rgb(33 79 92 / 5%);
+}
+
+/* 正文是 v-html 插进来的，不带 scoped 属性，必须用 :deep() 才命中 */
+.patient-paper :deep(h2) {
+  margin: 0 0 12px;
+  font-size: 18px;
+  text-align: center;
+}
+
+.patient-paper :deep(h3) {
+  margin: 18px 0 8px;
+  font-size: 16px;
+}
+
+.patient-paper :deep(p) {
+  margin: 0 0 10px;
+  text-align: justify;
+}
+
+.patient-paper :deep(ol),
+.patient-paper :deep(ul) {
+  padding-left: 1.4em;
+  margin: 0 0 10px;
+}
+
+.patient-paper :deep(li) {
+  margin-bottom: 6px;
+}
+
+.patient-paper :deep(table) {
+  width: 100%;
+  margin: 0 0 12px;
+  font-size: 14px;
+  border-collapse: collapse;
+}
+
+.patient-paper :deep(td),
+.patient-paper :deep(th) {
+  padding: 8px 10px;
+  vertical-align: top;
+  border: 1px solid #dbe7ea;
+}
+
+.patient-paper :deep(img) {
+  max-width: 100%;
+  height: auto;
+}
+
+/* 占位符：没值显示成浅色待填，有值显示成加粗的实填内容 */
+.patient-paper :deep([data-field]) {
+  display: inline-block;
+  min-width: 60px;
+}
+
+.patient-paper :deep([data-field].is-empty) {
+  color: #9aabb3;
+  font-weight: 400;
+}
+
+.patient-paper :deep([data-field].is-filled) {
+  color: #0f5d75;
+  font-weight: 700;
+}
+
+/* 患者签名位：给一条虚线底边，让患者一眼看出该在这儿签 */
+.patient-paper :deep([data-field].is-patient-sign) {
+  min-width: 130px;
+  padding: 0 6px;
+  border-bottom: 1px dashed #b9d8d2;
+}
+
+.patient-paper :deep(.field-signature) {
+  display: block;
+  max-height: 90px;
+  margin: 2px 0;
+}
+</style>
diff --git a/patient-h5/src/components/SignatureCanvas.vue b/patient-h5/src/components/SignatureCanvas.vue
index e3adc2e..250cdc1 100644
--- a/patient-h5/src/components/SignatureCanvas.vue
+++ b/patient-h5/src/components/SignatureCanvas.vue
@@ -1,44 +1,111 @@
 <script setup lang="ts">
-import { onBeforeUnmount, onMounted, ref } from 'vue'
+/**
+ * 手写签名画布（患者端）。
+ *
+ * 与 clinical-web 的 `components/SignatureCanvas.vue` 是**两份独立实现**（两个应用不共享代码），
+ * 但**事件契约必须一致**：都发 `update:dataUrl`，调用方写法才不用记两套。
+ *
+ * 2026-09-28 修：这份原先只有 `defineExpose`、**没有 `defineEmits`**，
+ * 而 `SignerView` 一直在监听 `@update:data-url` —— 事件从不派发，
+ * `signatureDataUrl` 恒为空串，真实模式提交必然报「未读取到签名图片」。
+ * 同时修掉三处会直接毁掉签名手感的问题：
+ * ① `pointerleave` 断笔（手指划到画布边缘外就断，长横画被切成两段）；
+ * ② resize 无笔迹保护（手机键盘弹出 / 旋转就清空已签内容）；
+ * ③ `devicePixelRatio` 未设上限（高分屏画布过大，笔迹发虚且卡顿）。
+ */
+import { nextTick, onBeforeUnmount, onMounted, ref, watch } from 'vue'
+
+const props = withDefaults(
+  defineProps<{
+    /** 画布高度（CSS 像素）。患者端建议不低于 180px —— 太小写不下完整姓名 */
+    height?: number
+    placeholder?: string
+  }>(),
+  {
+    height: 180,
+    placeholder: '请 在 此 签 名',
+  },
+)
+
+const emit = defineEmits<{
+  'update:dataUrl': [value: string | null]
+}>()
 
 const canvasRef = ref<HTMLCanvasElement | null>(null)
-const hasSignature = ref(false)
+/** 有没有落过笔。用于占位文案与「签名为空」的前置校验 */
+const hasInk = ref(false)
 
-let drawingContext: CanvasRenderingContext2D | null = null
+let context: CanvasRenderingContext2D | null = null
+let pixelRatio = 1
 let drawing = false
+let resizeObserver: ResizeObserver | null = null
 
-function resizeCanvas() {
+/**
+ * 按当前尺寸重建画布。
+ *
+ * 重建前先把已有笔迹拷到离屏画布，重建后原样画回去 —— 手机键盘弹出、
+ * 横竖屏切换都会触发 resize，不这么做患者会看到刚签好的名字凭空消失。
+ */
+function setupCanvas() {
   const canvas = canvasRef.value
+
   if (!canvas) {
     return
   }
 
   const rect = canvas.getBoundingClientRect()
-  const ratio = Math.max(window.devicePixelRatio || 1, 1)
-  canvas.width = Math.floor(rect.width * ratio)
-  canvas.height = Math.floor(rect.height * ratio)
+  const nextRatio = Math.min(window.devicePixelRatio || 1, 2)
+  const nextWidth = Math.max(Math.round(rect.width * nextRatio), 1)
+  const nextHeight = Math.max(Math.round(props.height * nextRatio), 1)
 
-  const context = canvas.getContext('2d')
-  if (!context) {
+  // 尺寸没变就别动画布：重建一次就丢一次笔迹，而 resize 触发得非常频繁
+  if (canvas.width === nextWidth && canvas.height === nextHeight && context) {
     return
   }
 
-  context.setTransform(ratio, 0, 0, ratio, 0, 0)
-  context.lineCap = 'round'
-  context.lineJoin = 'round'
-  context.lineWidth = 2.4
-  context.strokeStyle = '#173b56'
-  drawingContext = context
-  hasSignature.value = false
+  let snapshot: HTMLCanvasElement | null = null
+
+  if (hasInk.value && canvas.width > 0 && canvas.height > 0) {
+    snapshot = document.createElement('canvas')
+    snapshot.width = canvas.width
+    snapshot.height = canvas.height
+    snapshot.getContext('2d')?.drawImage(canvas, 0, 0)
+  }
+
+  pixelRatio = nextRatio
+  canvas.width = nextWidth
+  canvas.height = nextHeight
+
+  const nextContext = canvas.getContext('2d')
+
+  if (!nextContext) {
+    return
+  }
+
+  nextContext.setTransform(pixelRatio, 0, 0, pixelRatio, 0, 0)
+  nextContext.lineCap = 'round'
+  nextContext.lineJoin = 'round'
+  nextContext.lineWidth = 2.4
+  nextContext.strokeStyle = '#173b56'
+  context = nextContext
+
+  if (snapshot) {
+    nextContext.drawImage(snapshot, 0, 0, rect.width, props.height)
+    return
+  }
+
+  hasInk.value = false
 }
 
 function getPoint(event: PointerEvent) {
   const canvas = canvasRef.value
+
   if (!canvas) {
     return null
   }
 
   const rect = canvas.getBoundingClientRect()
+
   return {
     x: event.clientX - rect.left,
     y: event.clientY - rect.top,
@@ -47,66 +114,100 @@ function getPoint(event: PointerEvent) {
 
 function startDrawing(event: PointerEvent) {
   const point = getPoint(event)
-  if (!drawingContext || !point) {
+
+  if (!context || !point) {
     return
   }
 
   const canvas = canvasRef.value
+
+  // 指针捕获：手指划出画布边界后事件仍派发到这里，不必再挂 pointerleave，
+  // 也就不会出现「划到边缘就断笔」
   canvas?.setPointerCapture(event.pointerId)
   drawing = true
-  drawingContext.beginPath()
-  drawingContext.moveTo(point.x, point.y)
+  context.beginPath()
+  context.moveTo(point.x, point.y)
   event.preventDefault()
 }
 
 function draw(event: PointerEvent) {
-  if (!drawing || !drawingContext) {
+  if (!drawing || !context) {
     return
   }
 
   const point = getPoint(event)
+
   if (!point) {
     return
   }
 
-  drawingContext.lineTo(point.x, point.y)
-  drawingContext.stroke()
-  hasSignature.value = true
+  context.lineTo(point.x, point.y)
+  context.stroke()
+  hasInk.value = true
   event.preventDefault()
 }
 
 function stopDrawing(event: PointerEvent) {
+  if (!drawing) {
+    return
+  }
+
+  drawing = false
+
   const canvas = canvasRef.value
-  if (drawing && canvas?.hasPointerCapture(event.pointerId)) {
+
+  if (canvas?.hasPointerCapture(event.pointerId)) {
     canvas.releasePointerCapture(event.pointerId)
   }
-  drawing = false
+
+  // 抬笔即上报当前签名；没落笔就报 null，让调用方拿到明确的「空」
+  emit('update:dataUrl', hasInk.value ? getDataUrl() : null)
+}
+
+function getDataUrl() {
+  return canvasRef.value?.toDataURL('image/png') ?? null
 }
 
 function clearSignature() {
   const canvas = canvasRef.value
-  if (!canvas || !drawingContext) {
+
+  if (!canvas || !context) {
     return
   }
 
-  drawingContext.clearRect(0, 0, canvas.clientWidth, canvas.clientHeight)
-  hasSignature.value = false
+  context.clearRect(0, 0, canvas.clientWidth, canvas.clientHeight)
+  hasInk.value = false
+  emit('update:dataUrl', null)
 }
 
 function isEmpty() {
-  return !hasSignature.value
+  return !hasInk.value
 }
 
-onMounted(() => {
-  resizeCanvas()
-  window.addEventListener('resize', resizeCanvas)
+defineExpose({ clearSignature, isEmpty, getDataUrl })
+
+onMounted(async () => {
+  await nextTick()
+  setupCanvas()
+
+  if (typeof ResizeObserver !== 'undefined' && canvasRef.value) {
+    resizeObserver = new ResizeObserver(() => {
+      setupCanvas()
+    })
+    resizeObserver.observe(canvasRef.value)
+  }
 })
 
+watch(
+  () => props.height,
+  () => {
+    void nextTick(setupCanvas)
+  },
+)
+
 onBeforeUnmount(() => {
-  window.removeEventListener('resize', resizeCanvas)
+  resizeObserver?.disconnect()
 })
-
-defineExpose({ clearSignature, isEmpty })
 </script>
 
 <template>
@@ -115,16 +216,19 @@ defineExpose({ clearSignature, isEmpty })
       <span>请在框内手写签名</span>
       <span class="signature-hint">签名需清晰完整</span>
     </div>
-    <canvas
-      ref="canvasRef"
-      class="signature-canvas"
-      aria-label="手写签名区域"
-      @pointerdown="startDrawing"
-      @pointermove="draw"
-      @pointerup="stopDrawing"
-      @pointercancel="stopDrawing"
-      @pointerleave="stopDrawing"
-    />
+    <div class="signature-field">
+      <canvas
+        ref="canvasRef"
+        class="signature-canvas"
+        :style="{ height: `${height}px` }"
+        aria-label="手写签名区域"
+        @pointerdown="startDrawing"
+        @pointermove="draw"
+        @pointerup="stopDrawing"
+        @pointercancel="stopDrawing"
+      />
+      <span v-if="!hasInk" class="signature-placeholder">{{ placeholder }}</span>
+    </div>
     <button class="clear-button" type="button" @click="clearSignature">清除重签</button>
   </div>
 </template>
diff --git a/patient-h5/src/composables/useSignFlow.ts b/patient-h5/src/composables/useSignFlow.ts
index d3314d6..2b0218a 100644
--- a/patient-h5/src/composables/useSignFlow.ts
+++ b/patient-h5/src/composables/useSignFlow.ts
@@ -1,21 +1,65 @@
 import { reactive } from 'vue'
 
-import { consumeSigningToken, uploadSigningSignature } from '@/api'
-import type { SignatureUploadResponse } from '@/api/types'
-import type { SignFlowState } from '@/types/signing'
+import { consumeSigningToken, fetchSigningContext, uploadSigningSignature } from '@/api'
+import type {
+  SignDeliveryChannel,
+  SignatureUploadResponse,
+  SigningContextResponse,
+} from '@/api/types'
+import { DEMO_DOCUMENT_HTML, DEMO_PATIENT_FIELD_ID, DEMO_STAFF_ANSWERS } from '@/mock/demo-document'
+import type { SignerRelation, SignFlowState } from '@/types/signing'
+
+/**
+ * 本地会话（sessionStorage）。
+ *
+ * 为什么需要它：`EntryView` 会在请求前把 `token` 从地址栏清掉（防外泄，必要），
+ * 但清掉之后患者只要**下拉刷新 / 切后台被系统回收 / 误触返回**，就再也进不来了 ——
+ * 表现成「链接失效」，而链接其实还是好的。
+ *
+ * 所以消费成功后把投递凭证与上下文缓存到 sessionStorage（关掉标签页即失效，
+ * 不写 localStorage 是为了不在这台设备上长期留患者信息）。
+ */
+const SESSION_KEY = 'medical-sign:patient-session'
+
+/** 后端没给 `expiresAt` 时的兜底有效期，避免本地会话永不过期 */
+const SESSION_FALLBACK_TTL_MS = 2 * 60 * 60 * 1000
+
+interface PersistedSession {
+  taskId: string
+  taskNo: string
+  deliveryId: string
+  uploadToken: string
+  channel: SignDeliveryChannel | ''
+  expiresAt: string | null
+  savedAt: number
+  /** 连上下文一起缓存：刷新后没有 token 可再用，重拉不了 */
+  context: SigningContextResponse | null
+}
 
 const initialState: SignFlowState = {
   mode: 'mock',
   status: 'idle',
+  taskStatus: '',
   patientName: '张*',
+  sex: '',
+  age: '',
   visitNo: 'MZ20260827018',
+  department: '',
   documentTitle: '儿科急诊特殊检查知情同意书',
+  templateVersion: 'v1.0.0',
+  documentContentHtml: '',
+  contentSha256: '',
+  staffAnswers: {},
+  fields: [],
+  documentLoaded: false,
+  documentError: '',
   taskNo: 'CT-20260827-001',
   taskId: '',
   deliveryId: '',
   uploadToken: '',
   channel: '',
   consentAccepted: false,
+  signerType: '',
   signerName: '',
   relation: '',
   signatureCaptured: false,
@@ -28,26 +72,263 @@ const initialState: SignFlowState = {
 
 export const signingState = reactive<SignFlowState>({ ...initialState })
 
+/** 最近一次拿到的上下文，只用于写本地缓存 */
+let lastContext: SigningContextResponse | null = null
+/** 会话有效期：consume 不返回，由 context 补上 */
+let sessionExpiresAt: string | null = null
+
 export function resetSignFlow() {
   Object.assign(signingState, {
     ...initialState,
+    staffAnswers: {},
+    fields: [],
     uploadResult: null,
   })
+  lastContext = null
+  sessionExpiresAt = null
 }
 
 function getErrorMessage(error: unknown) {
   return error instanceof Error ? error.message : '签署链接验证失败，请联系现场医务人员。'
 }
 
+/* ---------------- 本地会话 ---------------- */
+
+function readPersistedSession(): PersistedSession | null {
+  try {
+    const raw = sessionStorage.getItem(SESSION_KEY)
+
+    if (!raw) {
+      return null
+    }
+
+    const parsed = JSON.parse(raw) as PersistedSession
+
+    if (!parsed?.taskId || !parsed?.uploadToken) {
+      return null
+    }
+
+    return parsed
+  } catch {
+    return null
+  }
+}
+
+function persistSession() {
+  if (!signingState.taskId || !signingState.uploadToken) {
+    return
+  }
+
+  try {
+    const payload: PersistedSession = {
+      taskId: signingState.taskId,
+      taskNo: signingState.taskNo,
+      deliveryId: signingState.deliveryId,
+      uploadToken: signingState.uploadToken,
+      channel: signingState.channel,
+      expiresAt: sessionExpiresAt,
+      savedAt: Date.now(),
+      context: lastContext,
+    }
+
+    sessionStorage.setItem(SESSION_KEY, JSON.stringify(payload))
+  } catch {
+    // 无痕模式 / 配额写满：存不下就不存，不影响本次签署
+  }
+}
+
+export function clearPersistedSession() {
+  try {
+    sessionStorage.removeItem(SESSION_KEY)
+  } catch {
+    // 同上
+  }
+}
+
+function isSessionExpired(session: PersistedSession) {
+  const expiresAt = session.expiresAt ? new Date(session.expiresAt).getTime() : Number.NaN
+
+  if (!Number.isNaN(expiresAt)) {
+    return expiresAt <= Date.now()
+  }
+
+  return Date.now() - session.savedAt > SESSION_FALLBACK_TTL_MS
+}
+
+/** 用本地会话恢复现场。恢复不了返回 false，由调用方走「链接无效」分支 */
+function restoreSession() {
+  const session = readPersistedSession()
+
+  if (!session) {
+    return false
+  }
+
+  if (isSessionExpired(session)) {
+    clearPersistedSession()
+    return false
+  }
+
+  signingState.mode = 'real'
+  signingState.taskId = session.taskId
+  signingState.taskNo = session.taskNo || session.taskId
+  signingState.deliveryId = session.deliveryId
+  signingState.uploadToken = session.uploadToken
+  signingState.channel = session.channel
+  sessionExpiresAt = session.expiresAt
+
+  if (session.context) {
+    applyContext(session.context)
+  }
+
+  signingState.status = 'ready'
+  return true
+}
+
+/* ---------------- 上下文 ---------------- */
+
+/**
+ * 把 `context` 响应铺进页面状态。
+ *
+ * 逐字段判空再覆盖（而不是整体替换）：后端可能只补了一部分字段，
+ * 缺的字段应该保留原值，不能把患者姓名冲成空串。
+ */
+function applyContext(context: SigningContextResponse) {
+  lastContext = context
+
+  const patient = context.patient ?? undefined
+
+  if (patient?.name?.trim()) {
+    signingState.patientName = patient.name.trim()
+  }
+
+  if (patient?.sex) {
+    signingState.sex = patient.sex
+  }
+
+  if (patient?.age !== null && patient?.age !== undefined) {
+    signingState.age = String(patient.age)
+  }
+
+  if (patient?.visitNo) {
+    signingState.visitNo = patient.visitNo
+  }
+
+  if (patient?.department) {
+    signingState.department = patient.department
+  }
+
+  // 签署人由医生在医护端填好，患者端只展示 —— 取不到就退回患者本人
+  const signer = context.signer ?? undefined
+
+  if (signer?.type) {
+    signingState.signerType = signer.type
+  }
+
+  if (signer?.name?.trim()) {
+    signingState.signerName = signer.name.trim()
+  }
+
+  if (signer?.relation) {
+    signingState.relation = signer.relation as SignerRelation
+  }
+
+  const template = context.template ?? undefined
+
+  if (template?.name?.trim()) {
+    signingState.documentTitle = template.name.trim()
+  }
+
+  if (template?.versionNo) {
+    signingState.templateVersion = template.versionNo
+  }
+
+  if (context.document) {
+    signingState.documentContentHtml = context.document.contentHtml ?? ''
+    signingState.contentSha256 = context.document.contentSha256 ?? ''
+  }
+
+  if (context.staffAnswers) {
+    signingState.staffAnswers = { ...context.staffAnswers }
+  }
+
+  if (context.fields) {
+    signingState.fields = [...context.fields]
+  }
+
+  if (context.status) {
+    signingState.taskStatus = context.status
+  }
+
+  if (context.channel) {
+    signingState.channel = context.channel
+  }
+
+  if (context.deliveryId) {
+    signingState.deliveryId = context.deliveryId
+  }
+
+  if (context.expiresAt) {
+    sessionExpiresAt = context.expiresAt
+  }
+
+  signingState.documentLoaded = Boolean(signingState.documentContentHtml)
+  signingState.documentError = signingState.documentLoaded
+    ? ''
+    : '暂未读取到本次签署的文书正文，无法展示正式文书。'
+}
+
+async function loadSigningContext(token: string) {
+  try {
+    applyContext(await fetchSigningContext(token))
+  } catch {
+    // 接口未接入 / 任务无效：如实告知，**不放行签署** ——
+    // 让患者在没看过正式文书的情况下签名，比签不了更严重
+    signingState.documentLoaded = false
+    signingState.documentError = '暂时无法读取本次签署的文书内容，请联系现场医务人员。'
+  }
+}
+
+/**
+ * 演示模式的上下文。
+ *
+ * 与真实模式走**同一条渲染路径**（`DocumentPaper` 读的是同样的字段），
+ * 只是数据是内置的 —— 演示与真实共用一套代码，才不会出现
+ * 「演示模式下好好的、真实模式一片空白」这种最难查的偏差。
+ */
+function applyDemoContext() {
+  signingState.documentTitle = 'CT 增强扫描知情同意书'
+  signingState.templateVersion = 'v1.0.0'
+  signingState.documentContentHtml = DEMO_DOCUMENT_HTML
+  signingState.staffAnswers = { ...DEMO_STAFF_ANSWERS }
+  signingState.fields = [
+    { id: DEMO_PATIENT_FIELD_ID, label: '患者签名', kind: 'signature', required: true },
+  ]
+  signingState.documentLoaded = true
+  signingState.documentError = ''
+  signingState.taskStatus = 'WAITING_SIGN'
+  signingState.signerName = signingState.signerName || signingState.patientName
+  signingState.relation = signingState.relation || '本人'
+}
+
+/* ---------------- 流程 ---------------- */
+
 export async function initializeSignFlow(token?: string) {
   resetSignFlow()
 
   const candidate = token?.trim()
+
+  // 地址栏没有 token 时先尝试恢复本地会话（刷新 / 切后台回来都会走到这里）
+  if (!candidate && restoreSession()) {
+    return true
+  }
+
   const shouldUseRealFlow = Boolean(candidate) || import.meta.env.VITE_USE_MOCK === 'false'
 
   signingState.mode = shouldUseRealFlow ? 'real' : 'mock'
 
   if (!shouldUseRealFlow) {
+    // 演示模式也要给一份带占位符的正文，否则「医生填了什么、患者该签哪里」根本验不了
+    applyDemoContext()
     signingState.status = 'ready'
     return true
   }
@@ -61,17 +342,17 @@ export async function initializeSignFlow(token?: string) {
   signingState.status = 'loading'
 
   try {
-    const session = await consumeSigningToken({ token: candidate, channel: 'SMS' })
+    const session = await consumeSigningToken({ token: candidate })
 
     signingState.taskId = session.taskId
     signingState.taskNo = session.taskId
     signingState.deliveryId = session.deliveryId
     signingState.uploadToken = session.uploadToken
     signingState.channel = session.channel
-    signingState.documentTitle = '待签署知情同意文书'
-    signingState.patientName = '患者信息待确认'
-    signingState.visitNo = ''
     signingState.status = 'ready'
+
+    await loadSigningContext(candidate)
+    persistSession()
     return true
   } catch (error) {
     signingState.status = 'error'
@@ -82,8 +363,6 @@ export async function initializeSignFlow(token?: string) {
 
 export async function submitRealSignature(input: {
   file: Blob
-  signerName: string
-  relation: NonNullable<SignFlowState['relation']>
   consentAccepted: boolean
 }): Promise<SignatureUploadResponse> {
   if (signingState.mode !== 'real') {
@@ -109,23 +388,24 @@ export async function submitRealSignature(input: {
       uploadToken: signingState.uploadToken,
       file: input.file,
       metadata: JSON.stringify({
-        signerName: input.signerName,
-        relation: input.relation,
+        // 签署人信息由医生在医护端填好，患者端原样带上，不再自己填
+        signerName: signingState.signerName,
+        signerType: signingState.signerType,
+        relation: signingState.relation,
         consentAccepted: input.consentAccepted,
         signedAt: new Date().toISOString(),
       }),
     })
 
-    signingState.signerName = input.signerName
-    signingState.relation = input.relation
-    signingState.consentAccepted = input.consentAccepted
     signingState.signatureCaptured = true
     signingState.submittedAt = new Date().toLocaleString('zh-CN')
     signingState.backendStatus = result.status
     signingState.pipelineId = result.pipelineId
     signingState.uploadResult = result
+    // 凭证用掉了就清掉：既避免重复提交，也不在这台设备上留着
     signingState.uploadToken = ''
     signingState.status = 'submitted'
+    clearPersistedSession()
     return result
   } catch (error) {
     signingState.status = 'ready'
diff --git a/patient-h5/src/mock/demo-document.ts b/patient-h5/src/mock/demo-document.ts
new file mode 100644
index 0000000..2a79cc7
--- /dev/null
+++ b/patient-h5/src/mock/demo-document.ts
@@ -0,0 +1,65 @@
+/**
+ * 演示模式（`VITE_USE_MOCK=true`）用的文书正文与「医生已填」结果。
+ *
+ * 为什么不能继续用页面上写死的假段落：患者端现在要渲染**结构化占位符**
+ * （`<span data-field data-kind data-label>`），写死的纯文字演示不出
+ * 「医生填了什么、患者该签哪里」这条链路，等于演示模式验不了真实交互。
+ *
+ * 占位符的属性名与 clinical-web 的 `utils/signing-fields.ts` 保持一致：
+ * `data-field`（字段 id）/ `data-kind`（text|date|choice|checkbox|signature）/ `data-label`。
+ * 那边改名要同步改这里，否则演示模式会渲染成一片没有值的标签。
+ */
+
+/** 患者签名位的字段 id，与 clinical-web 的 PRIMARY_SIGNATURE_FIELD_ID 同口径 */
+export const DEMO_PATIENT_FIELD_ID = 'signature'
+
+export const DEMO_DOCUMENT_HTML = [
+  '<h2>CT 增强扫描知情同意书</h2>',
+  '<table><tbody>',
+  '<tr><td>患者姓名</td><td><span data-field="patient" data-kind="text" data-label="患者姓名" data-required="true">患者姓名</span></td>',
+  '<td>性别</td><td><span data-field="sex" data-kind="text" data-label="性别">性别</span></td></tr>',
+  '<tr><td>年龄</td><td><span data-field="age" data-kind="text" data-label="年龄">年龄</span></td>',
+  '<td>就诊号</td><td><span data-field="visit" data-kind="text" data-label="就诊号">就诊号</span></td></tr>',
+  '<tr><td>检查项目</td><td colspan="3"><span data-field="examItem" data-kind="choice" data-label="检查项目" data-options="胸部增强CT|头颅增强CT|腹部增强CT">检查项目</span></td></tr>',
+  '</tbody></table>',
+  '<h3>一、检查说明</h3>',
+  '<p>医生已向患者或监护人说明本次 CT 增强扫描的目的、操作过程、使用对比剂可能出现的风险及替代方案。患者可就相关内容向医务人员提出问题。</p>',
+  '<h3>二、对比剂使用</h3>',
+  '<p>本次检查需静脉注射碘对比剂，可能引起温热感、恶心、皮疹等不适，极少数情况下可能出现严重过敏反应。</p>',
+  '<p><span data-field="allergy" data-kind="checkbox" data-label="无碘对比剂过敏史" data-options="无碘对比剂过敏史">无碘对比剂过敏史</span>　'
+    + '<span data-field="renalOk" data-kind="checkbox" data-label="肾功能正常" data-options="肾功能正常">肾功能正常</span></p>',
+  '<h3>三、患者知情同意</h3>',
+  '<p>本人已充分理解上述内容，自愿接受本次 CT 增强扫描，并同意使用碘对比剂。</p>',
+  '<table><tbody>',
+  '<tr><td>患者（或监护人）签名</td>'
+    + '<td><span data-field="signature" data-kind="signature" data-label="患者签名" data-required="true">患者签名</span></td>',
+  '<td>签署日期</td><td><span data-field="signedDate" data-kind="date" data-label="签署日期" data-required="true">签署日期</span></td></tr>',
+  '<tr><td>告知医师签名</td>'
+    + '<td><span data-field="doctor" data-kind="signature" data-label="告知医师签名" data-required="true">告知医师签名</span></td>',
+  '<td>科室</td><td><span data-field="department" data-kind="text" data-label="科室">科室</span></td></tr>',
+  '</tbody></table>',
+  '<p>本文书采用电子方式签署，签名图片与文档原件一并存档。</p>',
+].join('')
+
+/**
+ * 演示用的「医生已填」结果。
+ *
+ * 刻意**不含** `signature`（患者签名）—— 那一格要留给患者当场签，
+ * 提前填上会让演示看不出「待患者签名」这个关键状态。
+ */
+export const DEMO_STAFF_ANSWERS: Record<string, string> = {
+  patient: '张*',
+  sex: '男',
+  age: '42 岁',
+  visit: 'MZ20260827018',
+  examItem: '胸部增强CT',
+  allergy: '1',
+  renalOk: '1',
+  signedDate: '2026-08-27',
+  department: '儿科急诊',
+  // 演示用的医师签名图（一段 SVG 手写线）。用 dataURL 而不是外链，
+  // 演示时不依赖任何网络资源 —— 离线打开也能看到签名位被正确渲染
+  doctor:
+    'data:image/svg+xml;utf8,<svg xmlns="http://www.w3.org/2000/svg" width="120" height="40">'
+    + '<path d="M8 30 Q26 6 44 24 T78 18 Q96 12 112 26" stroke="%23173b56" stroke-width="2" fill="none" stroke-linecap="round"/></svg>',
+}
diff --git a/patient-h5/src/styles/index.css b/patient-h5/src/styles/index.css
index 03362c2..abdd6d3 100644
--- a/patient-h5/src/styles/index.css
+++ b/patient-h5/src/styles/index.css
@@ -389,6 +389,22 @@ button {
   font-weight: 400;
 }
 
+/* 占位文案要压在画布正中间，所以画布外面必须有一层定位容器 */
+.signature-field {
+  position: relative;
+}
+
+.signature-placeholder {
+  position: absolute;
+  inset: 0;
+  display: grid;
+  color: #c9d8de;
+  font-size: 15px;
+  letter-spacing: 2px;
+  pointer-events: none;
+  place-items: center;
+}
+
 .signature-canvas {
   display: block;
   width: 100%;
diff --git a/patient-h5/src/types/signing.ts b/patient-h5/src/types/signing.ts
index 1f598b6..a7d2f9a 100644
--- a/patient-h5/src/types/signing.ts
+++ b/patient-h5/src/types/signing.ts
@@ -1,4 +1,4 @@
-import type { SignDeliveryChannel, SignatureUploadResponse } from '@/api/types'
+import type { SignDeliveryChannel, SignatureUploadResponse, SigningContextField } from '@/api/types'
 
 export type SignerRelation = '本人' | '父亲' | '母亲' | '其他监护人' | '其他'
 
@@ -10,17 +10,47 @@ export type SignFlowStatus =
 export interface SignFlowState {
   mode: SignFlowMode
   status: SignFlowStatus
+
+  /** 后端返回的任务状态（`WAITING_SIGN` / `SIGNED` / `EXPIRED` / `VOIDED` / `FAILED`） */
+  taskStatus: string
+
   patientName: string
+  sex: string
+  age: string
   visitNo: string
+  department: string
+
   documentTitle: string
+  templateVersion: string
+  /**
+   * 文书正文 HTML（含占位符）。真实模式下由 `context` 接口返回。
+   *
+   * 与 `staffAnswers` 分开：正文是模板固化的那份，医生填的内容另存一份 ——
+   * 合成一份就查不出「谁在什么时候填了什么」。
+   */
+  documentContentHtml: string
+  contentSha256: string
+  /** 医生已填的结果（含医师签名图），患者端**只读**渲染 */
+  staffAnswers: Record<string, string>
+  /** 患者端可交互的字段。按约定只有主签名位（`id === 'signature'`） */
+  fields: SigningContextField[]
+  /** 有没有真的拿到正文 —— 没拿到就不该让患者签 */
+  documentLoaded: boolean
+  documentError: string
+
   taskNo: string
   taskId: string
   deliveryId: string
   uploadToken: string
   channel: SignDeliveryChannel | ''
+
   consentAccepted: boolean
+
+  /** 签署人：按业务口径由医生在医护端填好，患者端只展示 */
+  signerType: string
   signerName: string
   relation: SignerRelation | ''
+
   signatureCaptured: boolean
   submittedAt: string
   backendStatus: string
@@ -28,11 +58,3 @@ export interface SignFlowState {
   uploadResult: SignatureUploadResponse | null
   errorMessage: string
 }
-
-export const relationOptions: Array<{ value: SignerRelation; label: string }> = [
-  { value: '本人', label: '本人' },
-  { value: '父亲', label: '父亲' },
-  { value: '母亲', label: '母亲' },
-  { value: '其他监护人', label: '其他监护人' },
-  { value: '其他', label: '其他' },
-]
diff --git a/patient-h5/src/views/consent/ConsentView.vue b/patient-h5/src/views/consent/ConsentView.vue
index 66dca7b..3e786c5 100644
--- a/patient-h5/src/views/consent/ConsentView.vue
+++ b/patient-h5/src/views/consent/ConsentView.vue
@@ -1,7 +1,17 @@
 <script setup lang="ts">
+/**
+ * 文书阅读页。
+ *
+ * 换成真实文书渲染（`DocumentPaper`）：正文与「医生已填」结果都来自 context 接口。
+ * 原来那三段写死的假段落删掉了 —— 假文字既验不了渲染路径，也会让人误以为文书就长这样。
+ *
+ * 保留「阅读」与「签署」分成两步：手机上长文档与签名区分页更清晰，
+ * 且「已阅读」与「已签名」是两个独立的留痕动作。
+ */
 import { ref } from 'vue'
 import { useRouter } from 'vue-router'
 
+import DocumentPaper from '@/components/DocumentPaper.vue'
 import { signingState } from '@/composables/useSignFlow'
 
 const router = useRouter()
@@ -35,25 +45,10 @@ function continueToSigner() {
       <p>请完整阅读以下内容。如有疑问，请联系为您说明情况的医生。</p>
     </section>
 
-    <article class="document-card">
-      <div class="document-meta">
-        <span>患者：{{ signingState.patientName }}</span>
-        <span>版本：V1.0</span>
-      </div>
-      <h2>一、检查/治疗说明</h2>
-      <p>
-        医生已向患者或监护人说明拟实施的检查、治疗目的、操作过程、可能风险及替代方案。患者或监护人可以就相关内容向医务人员提出问题。
-      </p>
-      <h2>二、可能风险</h2>
-      <p>
-        具体风险因患者病情、检查方式和治疗方案而异。请在充分了解相关情况后，结合医生建议决定是否同意。
-      </p>
-      <h2>三、患者权利</h2>
-      <p>
-        患者或监护人有权选择同意或拒绝本次检查/治疗。拒绝可能影响后续诊疗安排，相关情况将按医院流程记录。
-      </p>
-      <div class="document-placeholder">正式文书 PDF 将在接入后端后展示</div>
-    </article>
+    <DocumentPaper
+      :content-html="signingState.documentContentHtml"
+      :answers="signingState.staffAnswers"
+    />
 
     <label class="check-row">
       <input v-model="hasRead" type="checkbox" />
diff --git a/patient-h5/src/views/entry/EntryView.vue b/patient-h5/src/views/entry/EntryView.vue
index 882ee90..946b0d2 100644
--- a/patient-h5/src/views/entry/EntryView.vue
+++ b/patient-h5/src/views/entry/EntryView.vue
@@ -1,4 +1,18 @@
 <script setup lang="ts">
+/**
+ * 签署入口页。
+ *
+ * 三件事：
+ * ① 从地址栏取一次性 token 并**立即从地址栏清掉**（防进入历史记录 / Referrer 外泄）；
+ * ② 消费 token 换投递凭证，再拉一次上下文（患者信息 + 文书 + 医生已填结果）；
+ * ③ 按渠道与任务状态决定展示什么：正常入口 / 终态（已签、过期、作废、失败）。
+ *
+ * **拿不到文书正文时不放行签署** —— 让患者在没看过正式文书的情况下签名，
+ * 比签不了更严重。这是原有实现就定下的保守口径，继续保留。
+ *
+ * 刷新不丢链接：token 清掉后靠 `useSignFlow` 的 sessionStorage 会话恢复，
+ * 不在这里重新拼 token。
+ */
 import { computed, onMounted, ref } from 'vue'
 import { useRoute, useRouter } from 'vue-router'
 
@@ -8,8 +22,91 @@ const route = useRoute()
 const router = useRouter()
 const loading = ref(true)
 
-const isRealFlow = computed(() => signingState.mode === 'real')
-const canStartSigning = computed(() => signingState.status === 'ready')
+/** 渠道 → 入口态说明。短信要核对身份，微信与手写板都属于「已经知道你是谁」的现场 */
+const CHANNEL_ENTRY: Record<string, { label: string; note: string }> = {
+  SMS: {
+    label: '短信链接进入',
+    note: '为保障签署安全，请核对以下由医院短信通知带出的信息。',
+  },
+  WX: {
+    label: '公众号进入',
+    note: '已从医院服务号进入本次签署，核对信息后即可阅读文书。',
+  },
+  PAD: {
+    label: '现场设备进入',
+    note: '本设备为现场签署设备，核对信息后即可阅读文书。',
+  },
+}
+
+const channelEntry = computed(() => CHANNEL_ENTRY[signingState.channel] ?? CHANNEL_ENTRY.SMS)
+
+const patientMeta = computed(() =>
+  [
+    signingState.sex,
+    signingState.age,
+    signingState.visitNo ? `就诊号 ${signingState.visitNo}` : '',
+    signingState.department,
+  ]
+    .filter(Boolean)
+    .join(' · '),
+)
+
+const signerLine = computed(() => {
+  const name = signingState.signerName || signingState.patientName
+  const relation = signingState.relation || '本人'
+
+  return `${name}（${relation}）`
+})
+
+/** 任务终态：不是「待签署」就不该让患者继续走流程 */
+const terminal = computed(() => {
+  switch (signingState.taskStatus) {
+    case 'SIGNED':
+      return {
+        eyebrow: '已完成',
+        title: '本次签署已完成',
+        copy: signingState.submittedAt
+          ? `签署时间：${signingState.submittedAt}。无需重复签署。`
+          : '本次文书已完成签署，无需重复签署。',
+      }
+    case 'EXPIRED':
+      return {
+        eyebrow: '链接已过期',
+        title: '签署链接已过期',
+        copy: '请勿重复尝试。请联系现场医务人员重新发起签署。',
+      }
+    case 'VOIDED':
+      return {
+        eyebrow: '已作废',
+        title: '本次签署任务已作废',
+        copy: '该任务已被医护端作废，如有疑问请联系现场医务人员。',
+      }
+    case 'FAILED':
+      return {
+        eyebrow: '处理失败',
+        title: '签署处理失败',
+        copy: '系统未能完成本次签署处理，请联系现场医务人员。',
+      }
+    default:
+      return null
+  }
+})
+
+const hasError = computed(
+  () => signingState.status === 'error' || signingState.status === 'blocked',
+)
+
+const canStartSigning = computed(
+  () => signingState.status === 'ready' && !terminal.value && signingState.documentLoaded,
+)
+
+function startSigning() {
+  if (!canStartSigning.value) {
+    return
+  }
+
+  void router.push('/consent')
+}
 
 function getQueryValue(value: unknown) {
   if (Array.isArray(value)) {
@@ -41,14 +138,6 @@ async function initialize() {
   }
 }
 
-function startSigning() {
-  if (!canStartSigning.value) {
-    return
-  }
-
-  void router.push('/consent')
-}
-
 onMounted(() => {
   void initialize()
 })
@@ -70,43 +159,34 @@ onMounted(() => {
       <p>请稍候，系统正在确认本次签署凭证。</p>
     </div>
 
-    <template v-else-if="signingState.status === 'error' || signingState.status === 'blocked'">
-      <section class="mobile-state-card mobile-state-card--error">
-        <p class="eyebrow">链接不可用</p>
-        <h1>无法继续签署</h1>
-        <p>{{ signingState.errorMessage }}</p>
-        <p class="secure-note">请不要重复尝试或转发链接，如有疑问请联系现场医务人员。</p>
-      </section>
-    </template>
+    <section v-else-if="hasError" class="mobile-state-card mobile-state-card--error">
+      <p class="eyebrow">链接不可用</p>
+      <h1>无法继续签署</h1>
+      <p>{{ signingState.errorMessage }}</p>
+      <p class="secure-note">请不要重复尝试或转发链接，如有疑问请联系现场医务人员。</p>
+    </section>
+
+    <section v-else-if="terminal" class="mobile-state-card">
+      <p class="eyebrow">{{ terminal.eyebrow }}</p>
+      <h1>{{ terminal.title }}</h1>
+      <p>{{ terminal.copy }}</p>
+      <p class="secure-note">如有疑问请联系现场医务人员。</p>
+    </section>
 
     <template v-else>
       <section class="mobile-hero">
         <p class="eyebrow">待签署文书</p>
         <h1>{{ signingState.documentTitle }}</h1>
-        <p v-if="isRealFlow">
-          签署链接已验证。请先核对现场展示的正式文书内容，再继续确认签署人信息。
-        </p>
-        <p v-else>请确认以下任务信息，并在阅读文书后完成签署。</p>
+        <p>{{ channelEntry.note }}</p>
       </section>
 
-      <section v-if="isRealFlow" class="mobile-card real-session-card">
-        <div class="card-label">签署凭证</div>
-        <div class="real-session-row">
-          <span class="real-session-icon">✓</span>
-          <div>
-            <strong>一次性签署链接已验证</strong>
-            <span>任务编号：{{ signingState.taskNo }}</span>
-          </div>
-        </div>
-      </section>
-
-      <section v-else class="mobile-card patient-card">
-        <div class="card-label">患者信息</div>
+      <section class="mobile-card patient-card">
+        <div class="card-label">{{ channelEntry.label }}</div>
         <div class="patient-row">
           <div class="patient-avatar">{{ signingState.patientName.slice(0, 1) }}</div>
           <div>
             <strong>{{ signingState.patientName }}</strong>
-            <span>{{ signingState.visitNo }}</span>
+            <span>{{ patientMeta }}</span>
           </div>
         </div>
         <div class="task-number">任务编号：{{ signingState.taskNo }}</div>
@@ -116,118 +196,27 @@ onMounted(() => {
         <div class="notice-icon">i</div>
         <div>
           <strong>请使用实际签署人的信息</strong>
-          <p>如果由家属或监护人代签，请在下一步选择与患者的关系。</p>
+          <p>
+            本次签署人：{{ signerLine }}。文书内容已由医务人员填写完成，如与实际不符请联系现场医务人员。
+          </p>
         </div>
       </section>
 
-      <section v-if="isRealFlow" class="mobile-card integration-note">
-        <strong>正式文书内容暂未由公开接口返回</strong>
-        <p>
-          当前后端公开 Token
-          接口只返回一次性上传凭证，没有提供患者端读取任务文书的接口。为避免在未阅读正式内容的情况下签署，本版本不会提交真实签名。
-        </p>
+      <section v-if="!signingState.documentLoaded" class="mobile-card integration-note">
+        <strong>暂未读取到正式文书</strong>
+        <p>{{ signingState.documentError }}</p>
       </section>
 
       <button
         class="mobile-primary-button"
         type="button"
-        :disabled="isRealFlow"
+        :disabled="!canStartSigning"
         @click="startSigning"
       >
-        {{ isRealFlow ? '等待文书接口接入' : '开始阅读并签署' }}
+        {{ signingState.documentLoaded ? '开始阅读并签署' : '等待文书接口接入' }}
       </button>
 
       <p class="secure-note">本页面仅用于本次知情同意签署，请勿转发签署链接。</p>
     </template>
   </main>
 </template>
-
-<style scoped>
-.mobile-state-card,
-.integration-note,
-.real-session-card {
-  padding: 20px;
-  border: 1px solid #e0eceb;
-  border-radius: 18px;
-  background: rgb(255 255 255 / 86%);
-  box-shadow: 0 12px 30px rgb(33 79 92 / 5%);
-}
-
-.mobile-state-card {
-  margin-top: 20vh;
-  text-align: center;
-}
-
-.mobile-state-card h1 {
-  margin: 0;
-  color: #173b56;
-  font-size: 25px;
-}
-
-.mobile-state-card p:not(.eyebrow) {
-  margin: 12px 0 0;
-  color: #788f9d;
-  font-size: 14px;
-  line-height: 1.7;
-}
-
-.mobile-state-card--error {
-  border-color: #f0d8d8;
-}
-
-.real-session-row {
-  display: flex;
-  gap: 12px;
-  align-items: center;
-}
-
-.real-session-icon {
-  display: grid;
-  width: 36px;
-  height: 36px;
-  color: #1f776f;
-  font-weight: 800;
-  background: #dff3ee;
-  border-radius: 12px;
-  place-items: center;
-}
-
-.real-session-row strong,
-.real-session-row span {
-  display: block;
-}
-
-.real-session-row strong {
-  color: #31576c;
-  font-size: 14px;
-}
-
-.real-session-row div span {
-  margin-top: 5px;
-  color: #8aa0aa;
-  font-size: 12px;
-}
-
-.integration-note {
-  margin-top: 14px;
-  background: #fffaf2;
-  border-color: #f0dfc1;
-}
-
-.integration-note strong {
-  color: #876126;
-  font-size: 13px;
-}
-
-.integration-note p {
-  margin: 7px 0 0;
-  color: #927b58;
-  font-size: 12px;
-  line-height: 1.7;
-}
-
-.mobile-primary-button:disabled {
-  cursor: not-allowed;
-  opacity: 0.6;
-}
-</style>
diff --git a/patient-h5/src/views/result/ResultView.vue b/patient-h5/src/views/result/ResultView.vue
index 62586a9..fda842f 100644
--- a/patient-h5/src/views/result/ResultView.vue
+++ b/patient-h5/src/views/result/ResultView.vue
@@ -2,7 +2,7 @@
 import { computed } from 'vue'
 import { useRouter } from 'vue-router'
 
-import { resetSignFlow, signingState } from '@/composables/useSignFlow'
+import { clearPersistedSession, resetSignFlow, signingState } from '@/composables/useSignFlow'
 
 const router = useRouter()
 
@@ -33,8 +33,18 @@ const statusLabel = computed(() => {
   return labels[signingState.backendStatus] ?? (signingState.backendStatus || '已提交')
 })
 
+/** 签署人由医生在医护端填好，这里只展示 —— 两边取同一份数据，不各算一套 */
+const signerLine = computed(() => {
+  const name = signingState.signerName || signingState.patientName
+  const relation = signingState.relation || '本人'
+
+  return `${name}（${relation}）`
+})
+
 function returnToEntry() {
   resetSignFlow()
+  // 连同本地会话一起清掉：本次已提交，不该再靠旧凭证回到签署页
+  clearPersistedSession()
   void router.replace('/entry')
 }
 </script>
@@ -53,7 +63,7 @@ function returnToEntry() {
       </div>
       <div>
         <span>签署人</span>
-        <strong>{{ signingState.signerName }}（{{ signingState.relation }}）</strong>
+        <strong>{{ signerLine }}</strong>
       </div>
       <div>
         <span>提交时间</span>
diff --git a/patient-h5/src/views/signer/SignerView.vue b/patient-h5/src/views/signer/SignerView.vue
index cb35f86..3e34a87 100644
--- a/patient-h5/src/views/signer/SignerView.vue
+++ b/patient-h5/src/views/signer/SignerView.vue
@@ -1,23 +1,33 @@
 <script setup lang="ts">
-import { ref } from 'vue'
+/**
+ * 签署页。
+ *
+ * 按业务口径，**患者只签自己的名**：文书里的选项、医师签名都由医生在医护端填好，
+ * 因此这一页去掉了原来的「签署人姓名 + 与患者关系」填写 —— 那两项现在由医生填，
+ * 这里只做只读展示。
+ *
+ * 签名仍走 Canvas（`SignatureCanvas`）。将来接真实手写板设备时，换的是采集层
+ * （设备适配器），这一页的交互不用动。
+ */
+import { computed, ref } from 'vue'
 import { useRouter } from 'vue-router'
 
+import DocumentPaper from '@/components/DocumentPaper.vue'
 import SignatureCanvas from '@/components/SignatureCanvas.vue'
 import { signingState, submitRealSignature } from '@/composables/useSignFlow'
-import { relationOptions, type SignerRelation } from '@/types/signing'
-
-interface SignatureCanvasExpose {
-  clearSignature: () => void
-  isEmpty: () => boolean
-}
 
 const router = useRouter()
-const signerName = ref('')
-const relation = ref<SignerRelation | ''>('')
-const errorMessage = ref('')
 const signatureDataUrl = ref('')
+const errorMessage = ref('')
 const submitting = ref(false)
-const signatureCanvas = ref<SignatureCanvasExpose | null>(null)
+
+/** 签署人由医生在医护端填好，这里只展示 */
+const signerLine = computed(() => {
+  const name = signingState.signerName || signingState.patientName
+  const relation = signingState.relation || '本人'
+
+  return `${name}（${relation}）`
+})
 
 function dataUrlToBlob(dataUrl: string) {
   const [header, encoded] = dataUrl.split(',')
@@ -29,40 +39,18 @@ function dataUrlToBlob(dataUrl: string) {
 }
 
 async function submitSigning() {
-  const trimmedName = signerName.value.trim()
-  if (!trimmedName) {
-    errorMessage.value = '请输入实际签署人姓名。'
-    return
-  }
-  if (!relation.value) {
-    errorMessage.value = '请选择签署人与患者的关系。'
-    return
-  }
-  if (signatureCanvas.value?.isEmpty()) {
+  if (!signatureDataUrl.value) {
     errorMessage.value = '请完成手写签名。'
     return
   }
 
-  const selectedRelation = relation.value
-
-  if (!selectedRelation) {
-    return
-  }
-
   if (signingState.mode === 'real') {
-    if (!signatureDataUrl.value) {
-      errorMessage.value = '未读取到签名图片，请重新签名。'
-      return
-    }
-
     submitting.value = true
     errorMessage.value = ''
 
     try {
       await submitRealSignature({
         file: dataUrlToBlob(signatureDataUrl.value),
-        signerName: trimmedName,
-        relation: selectedRelation,
         consentAccepted: signingState.consentAccepted,
       })
       await router.push('/result')
@@ -71,11 +59,10 @@ async function submitSigning() {
     } finally {
       submitting.value = false
     }
+
     return
   }
 
-  signingState.signerName = trimmedName
-  signingState.relation = selectedRelation
   signingState.signatureCaptured = true
   signingState.submittedAt = new Date().toLocaleString('zh-CN')
   void router.push('/result')
@@ -93,25 +80,38 @@ async function submitSigning() {
     </div>
 
     <section class="mobile-heading">
-      <p class="eyebrow">签署人确认</p>
-      <h1>请确认实际签署人</h1>
-      <p>签署人信息将与本次知情同意记录一并保存。</p>
+      <p class="eyebrow">签署确认</p>
+      <h1>请在文书签名处签名</h1>
+      <p>文书内容已由医务人员填写完成，您只需完成患者签名。</p>
     </section>
 
-    <section class="mobile-card signer-form">
-      <label class="field-label" for="signer-name">签署人姓名</label>
-      <input id="signer-name" v-model="signerName" class="mobile-input" placeholder="请输入姓名" />
-
-      <label class="field-label" for="signer-relation">与患者关系</label>
-      <select id="signer-relation" v-model="relation" class="mobile-input">
-        <option value="" disabled>请选择关系</option>
-        <option v-for="option in relationOptions" :key="option.value" :value="option.value">
-          {{ option.label }}
-        </option>
-      </select>
+    <section class="mobile-card signer-summary">
+      <div>
+        <span>患者</span>
+        <strong>{{ signingState.patientName }}</strong>
+      </div>
+      <div>
+        <span>签署人</span>
+        <strong>{{ signerLine }}</strong>
+      </div>
+      <div>
+        <span>文书</span>
+        <strong>{{ signingState.documentTitle }} · {{ signingState.templateVersion }}</strong>
+      </div>
     </section>
 
-    <SignatureCanvas ref="signatureCanvas" @update:data-url="signatureDataUrl = $event" />
+    <!-- 签完的字会实时回填到文书里的签名位，患者能立刻看到自己签在哪一格 -->
+    <DocumentPaper
+      :content-html="signingState.documentContentHtml"
+      :answers="signingState.staffAnswers"
+      :patient-signature="signatureDataUrl || null"
+    />
+
+    <SignatureCanvas
+      :height="200"
+      placeholder="请在此签名"
+      @update:data-url="signatureDataUrl = $event ?? ''"
+    />
 
     <p v-if="errorMessage" class="form-error">{{ errorMessage }}</p>
     <button
@@ -125,3 +125,32 @@ async function submitSigning() {
     <button class="mobile-text-button" type="button" @click="router.back()">返回修改</button>
   </main>
 </template>
+
+<style scoped>
+.signer-summary {
+  display: flex;
+  flex-direction: column;
+  gap: 10px;
+  padding: 18px 20px;
+  margin-bottom: 14px;
+}
+
+.signer-summary div {
+  display: flex;
+  gap: 10px;
+  align-items: baseline;
+  justify-content: space-between;
+}
+
+.signer-summary span {
+  flex-shrink: 0;
+  color: #8aa0aa;
+  font-size: 12px;
+}
+
+.signer-summary strong {
+  color: #173b56;
+  font-size: 14px;
+  text-align: right;
+}
+</style>