diff --git a/lab_domicilios.php b/lab_domicilios.php
index 65ecd06..26ae622 100644
--- a/lab_domicilios.php
+++ b/lab_domicilios.php
@@ -101,10 +101,10 @@ $domIdParam   = (int)($_GET['id']         ?? 0);
                         <div class="table-responsive">
                             <table class="table table-hover mb-0">
                                 <thead class="table-light">
-                                    <tr><th>Hora</th><th>Paciente</th><th>Enfermera</th><th>Estado</th></tr>
+                                    <tr><th>Fecha</th><th>Hora</th><th>Paciente</th><th>Enfermera</th><th>Estado</th></tr>
                                 </thead>
                                 <tbody id="tabla-body">
-                                    <tr><td colspan="4" class="text-center py-4 text-muted"><i class="fas fa-spinner fa-spin"></i></td></tr>
+                                    <tr><td colspan="5" class="text-center py-4 text-muted"><i class="fas fa-spinner fa-spin"></i></td></tr>
                                 </tbody>
                             </table>
                         </div>
@@ -437,14 +437,15 @@ async function cargarLista(pag = 1) {
 
     const tbody = document.getElementById('tabla-body');
     if (!d.data?.length) {
-        tbody.innerHTML = '<tr><td colspan="4" class="text-center py-4 text-muted">Sin domicilios</td></tr>';
+        tbody.innerHTML = '<tr><td colspan="5" class="text-center py-4 text-muted">Sin domicilios</td></tr>';
         document.getElementById('paginacion').innerHTML = '';
         return;
     }
 
     tbody.innerHTML = d.data.map(dom => `
         <tr class="dom-row ${domSeleccionado===dom.id?'table-active':''}" id="row-${dom.id}" onclick="verDomicilio(${dom.id})">
-            <td>${dom.hora_programada||'—'}</td>
+            <td class="text-nowrap small">${dom.fecha_programada ? dom.fecha_programada.slice(5).replace('-','/') : '—'}</td>
+            <td>${dom.hora_programada ? dom.hora_programada.slice(0,5) : '—'}</td>
             <td>
                 <div class="fw-semibold">${esc(dom.paciente_nombre)}</div>
                 <small class="text-muted">${esc(dom.barrio||'')}</small>
@@ -566,9 +567,30 @@ async function verDomicilio(id) {
                 ${dom.orden_id ? `
                 <div class="mb-3">
                     <label class="form-label small text-muted text-uppercase">Orden médica</label>
-                    <a href="lab_ordenes.php?id=${dom.orden_id}" class="d-block small">
-                        <i class="fas fa-file-medical me-1"></i>Ver orden #${dom.orden_id}
-                    </a>
+                    ${(() => {
+                        const lf = dom.orden_local_file || '';
+                        const isImg = /\.(jpe?g|png|gif|webp)$/i.test(lf);
+                        const url   = lf ? 'uploads/media/' + encodeURIComponent(lf) : '';
+                        if (lf && isImg) return `
+                            <a href="${url}" target="_blank" title="Ver imagen completa">
+                                <img src="${url}" alt="Orden médica"
+                                     style="max-width:100%;max-height:180px;object-fit:contain;border-radius:6px;border:1px solid #dee2e6;display:block;cursor:zoom-in">
+                            </a>
+                            <a href="lab_ordenes.php?id=${dom.orden_id}" class="d-block small mt-1 text-muted">
+                                <i class="fas fa-external-link-alt me-1"></i>Ver ficha orden #${dom.orden_id}
+                            </a>`;
+                        if (lf) return `
+                            <a href="${url}" target="_blank" download
+                               class="btn btn-sm btn-outline-secondary w-100 mb-1">
+                                <i class="fas fa-file-download me-1"></i>Abrir / Descargar archivo
+                            </a>
+                            <a href="lab_ordenes.php?id=${dom.orden_id}" class="d-block small text-muted">
+                                <i class="fas fa-external-link-alt me-1"></i>Ver ficha orden #${dom.orden_id}
+                            </a>`;
+                        return `<a href="lab_ordenes.php?id=${dom.orden_id}" class="d-block small">
+                                    <i class="fas fa-file-medical me-1"></i>Ver orden #${dom.orden_id}
+                                </a>`;
+                    })()}
                 </div>` : ''}
                 <!-- Botones de flujo -->
                 <div class="d-flex gap-2 flex-wrap">${btns}</div>