diff --git a/classes/lab/Enfermera.php b/classes/lab/Enfermera.php
index f6d199d..ccd2b9f 100644
--- a/classes/lab/Enfermera.php
+++ b/classes/lab/Enfermera.php
@@ -115,7 +115,24 @@ class Enfermera {
                 p.tipo_documento      AS paciente_tipo_documento,
                 p.numero_documento    AS paciente_numero_documento,
                 p.eps                 AS paciente_eps,
-                om.local_file         AS orden_local_file,
+                COALESCE(
+                    om.local_file,
+                    (SELECT om2.local_file
+                     FROM   lab_ordenes_medicas om2
+                     WHERE  om2.paciente_id = p.id
+                       AND  om2.local_file  IS NOT NULL
+                     ORDER  BY om2.created_at DESC
+                     LIMIT  1)
+                )                     AS orden_local_file,
+                COALESCE(
+                    d.orden_id,
+                    (SELECT om2.id
+                     FROM   lab_ordenes_medicas om2
+                     WHERE  om2.paciente_id = p.id
+                       AND  om2.local_file  IS NOT NULL
+                     ORDER  BY om2.created_at DESC
+                     LIMIT  1)
+                )                     AS orden_id_display,
                 a.estado              AS asignacion_estado,
                 a.id                  AS asignacion_id
             FROM  lab_asignaciones a
diff --git a/enfermero_portal.php b/enfermero_portal.php
index a2318ef..7f498e7 100644
--- a/enfermero_portal.php
+++ b/enfermero_portal.php
@@ -419,9 +419,9 @@ const portal = {
                    title="Ver orden médica">
                     <img src="${resImg(item.orden_local_file)}"
                          style="max-width:100%;max-height:180px;border-radius:8px;border:1px solid #ddd;cursor:zoom-in"
-                         alt="Orden médica #${item.orden_id}">
+                         alt="Orden médica #${item.orden_id_display || item.orden_id}">
                 </a>
-                <div class="small text-muted mt-1"><i class="fas fa-file-medical me-1"></i>Orden #${item.orden_id}</div>
+                <div class="small text-muted mt-1"><i class="fas fa-file-medical me-1"></i>Orden #${item.orden_id_display || item.orden_id}</div>
             </div>` : ''}
             <!-- Servicios extra registrados -->
             ${seSuf ? `<div class="d-flex flex-wrap gap-1 mb-2">${seSuf}</div>` : ''}