diff --git a/src/components/Chatbot.tsx b/src/components/Chatbot.tsx
index 3c4c108ea..e4658c52c 100644
--- a/src/components/Chatbot.tsx
+++ b/src/components/Chatbot.tsx
@@ -132,7 +132,7 @@ const Chatbot: React.FC<ChatbotProps> = ({ className = "" }) => {
   };
 
   return (
-    <div className={`fixed bottom-6 right-6 z-50 ${className}`}>
+    <div className={`fixed bottom-6 left-6 z-50 ${className}`}>
       {/* Floating Button */}
       {!isOpen && (
         <button
diff --git a/src/components/secretaria/SecretaryReportList.tsx b/src/components/secretaria/SecretaryReportList.tsx
index d7dd41e24..c5016ae34 100644
--- a/src/components/secretaria/SecretaryReportList.tsx
+++ b/src/components/secretaria/SecretaryReportList.tsx
@@ -8,6 +8,8 @@ import {
   type Report,
   patientService,
   type Patient,
+  doctorService,
+  type Doctor,
 } from "../../services";
 
 export function SecretaryReportList() {
@@ -20,8 +22,10 @@ export function SecretaryReportList() {
   const [showEditModal, setShowEditModal] = useState(false);
   const [selectedReport, setSelectedReport] = useState<Report | null>(null);
   const [patients, setPatients] = useState<Patient[]>([]);
+  const [doctors, setDoctors] = useState<Doctor[]>([]);
   const [formData, setFormData] = useState({
     patient_id: "",
+    doctor_id: "",
     exam: "",
     diagnosis: "",
     conclusion: "",
@@ -33,6 +37,7 @@ export function SecretaryReportList() {
   useEffect(() => {
     loadReports();
     loadPatients();
+    loadDoctors();
   }, []);
 
   // Recarrega automaticamente quando o filtro de status muda
@@ -52,9 +57,19 @@ export function SecretaryReportList() {
     }
   };
 
+  const loadDoctors = async () => {
+    try {
+      const data = await doctorService.list();
+      setDoctors(Array.isArray(data) ? data : []);
+    } catch (error) {
+      console.error("Erro ao carregar médicos:", error);
+    }
+  };
+
   const handleOpenCreateModal = () => {
     setFormData({
       patient_id: "",
+      doctor_id: "",
       exam: "",
       diagnosis: "",
       conclusion: "",
@@ -74,6 +89,7 @@ export function SecretaryReportList() {
     setSelectedReport(report);
     setFormData({
       patient_id: report.patient_id,
+      doctor_id: "",
       exam: report.exam || "",
       diagnosis: report.diagnosis || "",
       conclusion: report.conclusion || "",
@@ -92,12 +108,30 @@ export function SecretaryReportList() {
       return;
     }
 
+    if (!formData.doctor_id && !formData.requested_by) {
+      toast.error("Selecione um médico solicitante");
+      return;
+    }
+
     try {
-      await reportService.create({
+      console.log("[SecretaryReportList] Criando relatório com dados:", {
         patient_id: formData.patient_id,
         exam: formData.exam,
         diagnosis: formData.diagnosis,
         conclusion: formData.conclusion,
+        cid_code: formData.cid_code,
+        requested_by: formData.requested_by,
+        status: formData.status,
+      });
+
+      await reportService.create({
+        patient_id: formData.patient_id,
+        exam: formData.exam || undefined,
+        diagnosis: formData.diagnosis || undefined,
+        conclusion: formData.conclusion || undefined,
+        cid_code: formData.cid_code || undefined,
+        requested_by: formData.requested_by || undefined,
+        status: formData.status,
       });
 
       toast.success("Relatório criado com sucesso!");
@@ -556,6 +590,32 @@ export function SecretaryReportList() {
                   </select>
                 </div>
 
+                <div>
+                  <label className="block text-sm font-medium text-gray-700 mb-2">
+                    Médico Solicitante *
+                  </label>
+                  <select
+                    value={formData.doctor_id}
+                    onChange={(e) => {
+                      const selectedDoctor = doctors.find(d => d.id === e.target.value);
+                      setFormData({ 
+                        ...formData, 
+                        doctor_id: e.target.value,
+                        requested_by: selectedDoctor ? `Dr. ${selectedDoctor.full_name}` : ""
+                      });
+                    }}
+                    className="w-full px-3 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-green-500"
+                    required
+                  >
+                    <option value="">Selecione um médico</option>
+                    {doctors.map((doctor) => (
+                      <option key={doctor.id} value={doctor.id}>
+                        Dr. {doctor.full_name} - {doctor.specialty}
+                      </option>
+                    ))}
+                  </select>
+                </div>
+
                 <div>
                   <label className="block text-sm font-medium text-gray-700 mb-2">
                     Exame
@@ -847,7 +907,32 @@ export function SecretaryReportList() {
 
                 <div>
                   <label className="block text-sm font-medium text-gray-700 mb-2">
-                    Solicitado por
+                    Médico Solicitante
+                  </label>
+                  <select
+                    value={formData.doctor_id}
+                    onChange={(e) => {
+                      const selectedDoctor = doctors.find(d => d.id === e.target.value);
+                      setFormData({ 
+                        ...formData, 
+                        doctor_id: e.target.value,
+                        requested_by: selectedDoctor ? `Dr. ${selectedDoctor.full_name}` : ""
+                      });
+                    }}
+                    className="w-full px-3 py-2 border border-gray-300 rounded-lg focus:ring-2 focus:ring-purple-500"
+                  >
+                    <option value="">Selecione um médico</option>
+                    {doctors.map((doctor) => (
+                      <option key={doctor.id} value={doctor.id}>
+                        Dr. {doctor.full_name} - {doctor.specialty}
+                      </option>
+                    ))}
+                  </select>
+                </div>
+
+                <div>
+                  <label className="block text-sm font-medium text-gray-700 mb-2">
+                    Solicitado por (texto livre)
                   </label>
                   <input
                     type="text"
diff --git a/src/pages/AcompanhamentoPaciente.tsx b/src/pages/AcompanhamentoPaciente.tsx
index f38c51cb4..e26ab3d5f 100644
--- a/src/pages/AcompanhamentoPaciente.tsx
+++ b/src/pages/AcompanhamentoPaciente.tsx
@@ -78,6 +78,8 @@ const AcompanhamentoPaciente: React.FC = () => {
   const [especialidadeFiltro, setEspecialidadeFiltro] = useState<string>("");
   const [laudos, setLaudos] = useState<Report[]>([]);
   const [loadingLaudos, setLoadingLaudos] = useState(false);
+  const [selectedLaudo, setSelectedLaudo] = useState<Report | null>(null);
+  const [showLaudoModal, setShowLaudoModal] = useState(false);
   const [paginaProximas, setPaginaProximas] = useState(1);
   const [paginaPassadas, setPaginaPassadas] = useState(1);
   const consultasPorPagina = 10;
@@ -934,7 +936,7 @@ const AcompanhamentoPaciente: React.FC = () => {
                     Exame
                   </th>
                   <th className="px-6 py-3 text-left text-xs font-medium text-gray-500 dark:text-gray-400 uppercase tracking-wider">
-                    Diagnóstico
+                    Médico Solicitante
                   </th>
                   <th className="px-6 py-3 text-left text-xs font-medium text-gray-500 dark:text-gray-400 uppercase tracking-wider">
                     Status
@@ -942,6 +944,9 @@ const AcompanhamentoPaciente: React.FC = () => {
                   <th className="px-6 py-3 text-left text-xs font-medium text-gray-500 dark:text-gray-400 uppercase tracking-wider">
                     Data
                   </th>
+                  <th className="px-6 py-3 text-left text-xs font-medium text-gray-500 dark:text-gray-400 uppercase tracking-wider">
+                    Ações
+                  </th>
                 </tr>
               </thead>
               <tbody className="divide-y divide-gray-200 dark:divide-slate-700">
@@ -957,7 +962,7 @@ const AcompanhamentoPaciente: React.FC = () => {
                       {laudo.exam || "-"}
                     </td>
                     <td className="px-6 py-4 text-sm text-gray-600 dark:text-gray-300">
-                      {laudo.diagnosis || "-"}
+                      {laudo.requested_by || "-"}
                     </td>
                     <td className="px-6 py-4 whitespace-nowrap">
                       <span
@@ -983,6 +988,17 @@ const AcompanhamentoPaciente: React.FC = () => {
                     <td className="px-6 py-4 whitespace-nowrap text-sm text-gray-600 dark:text-gray-300">
                       {new Date(laudo.created_at).toLocaleDateString("pt-BR")}
                     </td>
+                    <td className="px-6 py-4 whitespace-nowrap text-sm">
+                      <button
+                        onClick={() => {
+                          setSelectedLaudo(laudo);
+                          setShowLaudoModal(true);
+                        }}
+                        className="text-blue-600 hover:text-blue-800 dark:text-blue-400 dark:hover:text-blue-300 font-medium"
+                      >
+                        Ver Detalhes
+                      </button>
+                    </td>
                   </tr>
                 ))}
               </tbody>
@@ -990,6 +1006,146 @@ const AcompanhamentoPaciente: React.FC = () => {
           </div>
         )}
       </div>
+
+      {/* Modal de Detalhes do Laudo */}
+      {showLaudoModal && selectedLaudo && (
+        <div className="fixed inset-0 bg-black bg-opacity-50 flex items-center justify-center z-50 p-4">
+          <div className="bg-white dark:bg-slate-800 rounded-xl shadow-xl max-w-3xl w-full max-h-[90vh] overflow-y-auto">
+            <div className="p-6 border-b border-gray-200 dark:border-slate-700 flex items-center justify-between">
+              <h2 className="text-2xl font-bold text-gray-900 dark:text-white">
+                Detalhes do Laudo
+              </h2>
+              <button
+                onClick={() => {
+                  setShowLaudoModal(false);
+                  setSelectedLaudo(null);
+                }}
+                className="p-2 hover:bg-gray-100 dark:hover:bg-slate-700 rounded-lg transition-colors"
+              >
+                <XCircle className="h-6 w-6 text-gray-500 dark:text-gray-400" />
+              </button>
+            </div>
+
+            <div className="p-6 space-y-6">
+              {/* Informações Básicas */}
+              <div className="grid grid-cols-2 gap-4">
+                <div>
+                  <label className="block text-sm font-medium text-gray-500 dark:text-gray-400 mb-1">
+                    Número do Laudo
+                  </label>
+                  <p className="text-gray-900 dark:text-white font-medium">
+                    {selectedLaudo.order_number}
+                  </p>
+                </div>
+                <div>
+                  <label className="block text-sm font-medium text-gray-500 dark:text-gray-400 mb-1">
+                    Data de Criação
+                  </label>
+                  <p className="text-gray-900 dark:text-white font-medium">
+                    {new Date(selectedLaudo.created_at).toLocaleDateString("pt-BR", {
+                      day: "2-digit",
+                      month: "long",
+                      year: "numeric"
+                    })}
+                  </p>
+                </div>
+                <div>
+                  <label className="block text-sm font-medium text-gray-500 dark:text-gray-400 mb-1">
+                    Status
+                  </label>
+                  <span
+                    className={`inline-flex px-3 py-1 text-xs font-semibold rounded-full ${
+                      selectedLaudo.status === "completed"
+                        ? "bg-green-100 text-green-800 dark:bg-green-900 dark:text-green-200"
+                        : selectedLaudo.status === "pending"
+                        ? "bg-yellow-100 text-yellow-800 dark:bg-yellow-900 dark:text-yellow-200"
+                        : selectedLaudo.status === "cancelled"
+                        ? "bg-red-100 text-red-800 dark:bg-red-900 dark:text-red-200"
+                        : "bg-gray-100 text-gray-800 dark:bg-gray-700 dark:text-gray-300"
+                    }`}
+                  >
+                    {selectedLaudo.status === "completed"
+                      ? "Concluído"
+                      : selectedLaudo.status === "pending"
+                      ? "Pendente"
+                      : selectedLaudo.status === "cancelled"
+                      ? "Cancelado"
+                      : "Rascunho"}
+                  </span>
+                </div>
+                <div>
+                  <label className="block text-sm font-medium text-gray-500 dark:text-gray-400 mb-1">
+                    Médico Solicitante
+                  </label>
+                  <p className="text-gray-900 dark:text-white font-medium">
+                    {selectedLaudo.requested_by || "-"}
+                  </p>
+                </div>
+              </div>
+
+              {/* Exame */}
+              {selectedLaudo.exam && (
+                <div>
+                  <label className="block text-sm font-medium text-gray-500 dark:text-gray-400 mb-2">
+                    Exame Realizado
+                  </label>
+                  <p className="text-gray-900 dark:text-white bg-gray-50 dark:bg-slate-700 p-4 rounded-lg">
+                    {selectedLaudo.exam}
+                  </p>
+                </div>
+              )}
+
+              {/* Código CID */}
+              {selectedLaudo.cid_code && (
+                <div>
+                  <label className="block text-sm font-medium text-gray-500 dark:text-gray-400 mb-2">
+                    Código CID-10
+                  </label>
+                  <p className="text-gray-900 dark:text-white bg-gray-50 dark:bg-slate-700 p-4 rounded-lg font-mono">
+                    {selectedLaudo.cid_code}
+                  </p>
+                </div>
+              )}
+
+              {/* Diagnóstico */}
+              {selectedLaudo.diagnosis && (
+                <div>
+                  <label className="block text-sm font-medium text-gray-500 dark:text-gray-400 mb-2">
+                    Diagnóstico
+                  </label>
+                  <p className="text-gray-900 dark:text-white bg-gray-50 dark:bg-slate-700 p-4 rounded-lg whitespace-pre-wrap">
+                    {selectedLaudo.diagnosis}
+                  </p>
+                </div>
+              )}
+
+              {/* Conclusão */}
+              {selectedLaudo.conclusion && (
+                <div>
+                  <label className="block text-sm font-medium text-gray-500 dark:text-gray-400 mb-2">
+                    Conclusão
+                  </label>
+                  <p className="text-gray-900 dark:text-white bg-gray-50 dark:bg-slate-700 p-4 rounded-lg whitespace-pre-wrap">
+                    {selectedLaudo.conclusion}
+                  </p>
+                </div>
+              )}
+            </div>
+
+            <div className="p-6 border-t border-gray-200 dark:border-slate-700 flex justify-end">
+              <button
+                onClick={() => {
+                  setShowLaudoModal(false);
+                  setSelectedLaudo(null);
+                }}
+                className="px-6 py-2 bg-blue-600 text-white rounded-lg hover:bg-blue-700 transition-colors"
+              >
+                Fechar
+              </button>
+            </div>
+          </div>
+        </div>
+      )}
     </div>
   );