diff --git a/api/lab/get_examenes_rips.php b/api/lab/get_examenes_rips.php
new file mode 100644
index 0000000..f089086
--- /dev/null
+++ b/api/lab/get_examenes_rips.php
@@ -0,0 +1,81 @@
+<?php
+/**
+ * GET /api/lab/get_examenes_rips.php?cedula=X
+ * Consulta al RIPS Manager los exámenes registrados en los últimos 5 minutos
+ * para la cédula indicada, y los mapea a exam_tipos locales por codigo_legacy.
+ */
+require_once __DIR__ . '/_helpers.php';
+requireMethod('GET');
+
+$cedula = trim($_GET['cedula'] ?? '');
+if (!$cedula) jsonError('cedula requerida', 400);
+
+$ripsUrl = defined('RIPS_MANAGER_URL') ? rtrim(RIPS_MANAGER_URL, '/') : '';
+if (!$ripsUrl) jsonError('RIPS_MANAGER_URL no configurado en el servidor', 503);
+
+// Llamada server-to-server al RIPS Manager
+$url = $ripsUrl . '/pacientes/examenes?cedula=' . urlencode($cedula);
+$ctx = stream_context_create([
+    'http' => [
+        'method'  => 'GET',
+        'header'  => 'X-Lab-Key: ' . LAB_SYNC_KEY . "\r\n",
+        'timeout' => 8,
+        'ignore_errors' => true,
+    ],
+]);
+
+$resp = @file_get_contents($url, false, $ctx);
+if ($resp === false) jsonError('No se pudo conectar con RIPS Manager', 503);
+
+$data = json_decode($resp, true);
+if (!($data['ok'] ?? false)) {
+    jsonError($data['error'] ?? 'Error en RIPS Manager', 502);
+}
+
+$examenes = $data['examenes'] ?? [];
+if (!$examenes) {
+    jsonOk(['encontrados' => [], 'no_mapeados' => [], 'total_rips' => 0]);
+}
+
+// Mapear COD_EXAMEN → exam_tipos por codigo_legacy
+$codigos = array_values(array_unique(array_filter(
+    array_map(fn($e) => trim($e['cod_examen'] ?? ''), $examenes)
+)));
+
+$encontrados = [];
+$no_mapeados = [];
+
+if ($codigos) {
+    $ph   = implode(',', array_fill(0, count($codigos), '?'));
+    $stmt = db()->prepare(
+        "SELECT id AS exam_tipo_id, codigo, nombre, codigo_legacy
+         FROM exam_tipos
+         WHERE codigo_legacy IN ($ph) AND activo = 1"
+    );
+    $stmt->execute($codigos);
+    $mapa = [];
+    foreach ($stmt->fetchAll(PDO::FETCH_ASSOC) as $r) {
+        $mapa[trim($r['codigo_legacy'])] = $r;
+    }
+    foreach ($codigos as $cod) {
+        if (isset($mapa[$cod])) {
+            $encontrados[] = [
+                'exam_tipo_id' => (int)$mapa[$cod]['exam_tipo_id'],
+                'codigo'       => $mapa[$cod]['codigo'],
+                'nombre'       => $mapa[$cod]['nombre'],
+                'cod_rips'     => $cod,
+            ];
+        } else {
+            $no_mapeados[] = $cod;
+        }
+    }
+}
+
+$meta = $examenes[0] ?? [];
+jsonOk([
+    'encontrados'  => $encontrados,
+    'no_mapeados'  => $no_mapeados,
+    'total_rips'   => count($examenes),
+    'recepcion_id' => $meta['recepcion_id'] ?? null,
+    'hora'         => $meta['hora'] ?? null,
+]);
diff --git a/config/config.php b/config/config.php
index ce1b00d..26d5c98 100644
--- a/config/config.php
+++ b/config/config.php
@@ -406,6 +406,10 @@ if (!defined('MIGRATION_TOKEN')) {
 if (!defined('LAB_SYNC_KEY')) {
     define('LAB_SYNC_KEY', getenv('LAB_SYNC_KEY') ?: 'rips-lab-sync-2026');
 }
+// URL base del RIPS Manager (para consultas server-to-server)
+if (!defined('RIPS_MANAGER_URL')) {
+    define('RIPS_MANAGER_URL', getenv('RIPS_MANAGER_URL') ?: '');
+}
 define('TIMEZONE', 'America/Bogota');
 
 // Información del desarrollador
diff --git a/modules/turnero/views/recepcion.php b/modules/turnero/views/recepcion.php
index 5344749..1c06812 100644
--- a/modules/turnero/views/recepcion.php
+++ b/modules/turnero/views/recepcion.php
@@ -625,6 +625,24 @@ document.addEventListener('DOMContentLoaded', function() {
                     </select>
                 </div>
 
+                <!-- Banner RIPS: exámenes detectados automáticamente -->
+                <div id="banner-rips" class="d-none mt-1 mb-1 p-2 rounded d-flex align-items-center justify-content-between gap-2"
+                     style="background:#f0fdf4;border:1px solid #86efac;font-size:.82rem">
+                    <div>
+                        <i class="fas fa-flask text-success me-1"></i>
+                        <span id="banner-rips-txt" class="fw-semibold"></span>
+                        <span id="banner-rips-warn" class="d-none text-warning ms-2"></span>
+                    </div>
+                    <div class="d-flex gap-1 flex-shrink-0">
+                        <button class="btn btn-success btn-sm py-0 px-2" onclick="cargarExamenesRips()">
+                            <i class="fas fa-check me-1"></i>Cargar
+                        </button>
+                        <button class="btn btn-outline-secondary btn-sm py-0 px-2" onclick="descartarRips()">
+                            <i class="fas fa-times"></i>
+                        </button>
+                    </div>
+                </div>
+
                 <!-- ── Sección 3: Exámenes ── -->
                 <div class="ficha-section">
                     <h6><i class="fas fa-vial me-1"></i>Exámenes solicitados</h6>
@@ -1437,6 +1455,48 @@ function seleccionarPaciente(pac) {
     // Precargar en background (usuario decide si abre)
     _historialPacienteCargado = false;
     _historialPacienteId = pac.id;
+
+    // Consultar exámenes recientes en RIPS (últimos 5 min)
+    const cedula = (pac.numero_documento || pac.documento || '').toString().trim();
+    if (cedula) consultarExamenesRips(cedula);
+}
+
+// ── Exámenes desde RIPS ───────────────────────────────────────
+let _ripsData = null;
+
+async function consultarExamenesRips(cedula) {
+    _ripsData = null;
+    document.getElementById('banner-rips').classList.add('d-none');
+    if (!cedula) return;
+    try {
+        const r = await fetch(`${BASE_WA}api/lab/get_examenes_rips.php?cedula=${encodeURIComponent(cedula)}`);
+        const d = await r.json();
+        if (!d.ok || !d.encontrados?.length) return;
+        _ripsData = d;
+        const hora = d.hora ? ' (' + String(d.hora).slice(0, 5) + ')' : '';
+        document.getElementById('banner-rips-txt').textContent =
+            `${d.encontrados.length} examen(es) de RIPS${hora} — ¿Cargar?`;
+        const warn = document.getElementById('banner-rips-warn');
+        if (d.no_mapeados?.length) {
+            warn.textContent = `⚠ Sin mapeo: ${d.no_mapeados.join(', ')}`;
+            warn.classList.remove('d-none');
+        } else {
+            warn.classList.add('d-none');
+        }
+        document.getElementById('banner-rips').classList.remove('d-none');
+    } catch (_) {}
+}
+
+function cargarExamenesRips() {
+    if (!_ripsData?.encontrados?.length || !examTS) return;
+    _ripsData.encontrados.forEach(e => examTS.addItem(String(e.exam_tipo_id), true));
+    recalcularPrecios();
+    descartarRips();
+}
+
+function descartarRips() {
+    _ripsData = null;
+    document.getElementById('banner-rips').classList.add('d-none');
 }
 
 function togglePagoCombinado() {
@@ -1463,6 +1523,7 @@ function resetPagoCombinado() {
 function desvincularPaciente() {
     pacienteActivo = null;
     _historialPacienteId = null;
+    descartarRips();
     _historialPacienteCargado = false;
     document.getElementById('bloque-pac-no-vinculado').classList.remove('d-none');
     document.getElementById('bloque-pac-seleccionado').classList.add('d-none');
@@ -2037,6 +2098,7 @@ function resetCheckboxes() {
     if (examTS) { examTS.clear(); examTS.enable(); }
     document.getElementById('wrap-examenes').classList.remove('disabled');
     document.getElementById('bloque-medico').style.display = '';
+    descartarRips();
     document.getElementById('sel-pago').value = '';
     document.getElementById('inp-total').value = '';
     document.getElementById('inp-obs').value = '';