diff --git a/backend/templates/pmr.html b/backend/templates/pmr.html
index d96d466..cdb7407 100644
--- a/backend/templates/pmr.html
+++ b/backend/templates/pmr.html
@@ -999,7 +999,7 @@
                     <span class="status-dot"></span>
                     자동감지 OFF
                 </div>
-                <div id="autoPrintToggle" class="status-badge auto-print-off" onclick="toggleAutoPrint()">
+                <div id="autoPrintToggle" class="status-badge auto-print-off">
                     <span class="status-dot"></span>
                     자동인쇄 OFF
                 </div>
@@ -2649,38 +2649,44 @@
             // ═══════════════════════════════════════════════════════════════
             // 자동인쇄 기능
             // ═══════════════════════════════════════════════════════════════
-            let autoPrintEnabled = localStorage.getItem('pmr_auto_print') === 'true';
+            var autoPrintEnabled = localStorage.getItem('pmr_auto_print') === 'true';
             
-            // 초기화
-            function initAutoPrint() {
-                updateAutoPrintIndicator();
-            }
-            
-            // 토글
-            function toggleAutoPrint() {
-                autoPrintEnabled = !autoPrintEnabled;
-                localStorage.setItem('pmr_auto_print', autoPrintEnabled);
-                updateAutoPrintIndicator();
-                showToast(autoPrintEnabled ? '🖨️ 자동인쇄 ON' : '🖨️ 자동인쇄 OFF', autoPrintEnabled ? 'success' : 'info');
-            }
+            // 간단한 토스트 알림 (전역)
+            window.showToast = function(message, type) {
+                var container = document.getElementById('paaiToastContainer');
+                if (!container) return;
+                
+                var toast = document.createElement('div');
+                toast.className = 'paai-toast';
+                toast.style.background = type === 'success' ? 'linear-gradient(135deg, #10b981, #059669)' : 
+                                         type === 'error' ? 'linear-gradient(135deg, #ef4444, #dc2626)' : 
+                                         'linear-gradient(135deg, #6b7280, #4b5563)';
+                
+                toast.innerHTML = '<div class="content"><div class="title">' + message + '</div></div>';
+                toast.onclick = function() { toast.remove(); };
+                
+                container.appendChild(toast);
+                setTimeout(function() { toast.remove(); }, 3000);
+            };
             
             // 표시 업데이트
             function updateAutoPrintIndicator() {
                 const toggle = document.getElementById('autoPrintToggle');
                 if (toggle) {
-                    toggle.className = `status-badge ${autoPrintEnabled ? 'auto-print-on' : 'auto-print-off'}`;
-                    toggle.innerHTML = `
-                        <span class="status-dot"></span>
-                        자동인쇄 ${autoPrintEnabled ? 'ON' : 'OFF'}
-                    `;
+                    toggle.className = 'status-badge ' + (autoPrintEnabled ? 'auto-print-on' : 'auto-print-off');
+                    toggle.innerHTML = '<span class="status-dot"></span>자동인쇄 ' + (autoPrintEnabled ? 'ON' : 'OFF');
                 }
             }
             
             // PAAI 결과 인쇄
             async function printPaaiResult(preSerial, patientName, result) {
-                if (!autoPrintEnabled) return;
+                if (!autoPrintEnabled) {
+                    console.log('[AutoPrint] 비활성화됨');
+                    return;
+                }
                 
                 try {
+                    console.log('[AutoPrint] 인쇄 요청:', preSerial);
                     const response = await fetch('/pmr/api/paai/print', {
                         method: 'POST',
                         headers: {'Content-Type': 'application/json'},
@@ -2693,17 +2699,33 @@
                     
                     const data = await response.json();
                     if (data.success) {
-                        console.log('[AutoPrint] 인쇄 완료:', preSerial);
+                        console.log('[AutoPrint] 인쇄 완료');
+                        showToast('인쇄 완료: ' + patientName, 'success');
                     } else {
-                        console.error('[AutoPrint] 인쇄 실패:', data.error);
+                        console.error('[AutoPrint] 실패:', data.error);
                     }
                 } catch (err) {
                     console.error('[AutoPrint] 오류:', err);
                 }
             }
             
-            // 페이지 로드 시 초기화
-            document.addEventListener('DOMContentLoaded', initAutoPrint);
+            // 즉시 실행: 토글 이벤트 바인딩
+            (function() {
+                const toggle = document.getElementById('autoPrintToggle');
+                if (toggle) {
+                    toggle.style.cursor = 'pointer';
+                    toggle.onclick = function() {
+                        autoPrintEnabled = !autoPrintEnabled;
+                        localStorage.setItem('pmr_auto_print', autoPrintEnabled ? 'true' : 'false');
+                        updateAutoPrintIndicator();
+                        showToast(autoPrintEnabled ? '자동인쇄 ON' : '자동인쇄 OFF', autoPrintEnabled ? 'success' : 'info');
+                        console.log('[AutoPrint] 토글:', autoPrintEnabled);
+                    };
+                    // 초기 상태 표시
+                    updateAutoPrintIndicator();
+                    console.log('[AutoPrint] 초기화 완료, 상태:', autoPrintEnabled);
+                }
+            })();
             
             // 알림 소리
             function playTriggerSound() {