diff --git a/app/Controllers/Patient.php b/app/Controllers/Patient.php
index 4f3f345..7a354fe 100644
--- a/app/Controllers/Patient.php
+++ b/app/Controllers/Patient.php
@@ -914,9 +914,33 @@ class Patient extends BaseController
 			];
 		}
 
+		// Resolve patient profile picture
+		$profileFilePath = '/assets/images/no_image.svg';
+		$profilePicturePath = '';
+		if ($this->db->fieldExists('profile_picture', 'patient_master')) {
+			$profilePicturePath = trim((string) ($patient->profile_picture ?? ''));
+		}
+		$profileFileId = (int) ($patient->profile_file_id ?? 0);
+		if ($profileFileId > 0 && $this->db->tableExists('file_upload_data')) {
+			$fileRow = $this->db->table('file_upload_data')
+				->select('full_path')
+				->where('id', $profileFileId)
+				->get(1)
+				->getRow();
+			$fullPath = trim((string) ($fileRow->full_path ?? ''));
+			if ($fullPath !== '') {
+				$pos = strpos($fullPath, '/uploads/', 1);
+				$profileFilePath = $pos !== false ? substr($fullPath, $pos) : $fullPath;
+			}
+		} elseif ($profilePicturePath !== '') {
+			$pos = strpos($profilePicturePath, '/uploads/', 1);
+			$profileFilePath = $pos !== false ? substr($profilePicturePath, $pos) : $profilePicturePath;
+		}
+
 		return view('billing/Patient_Profile_Opd_V', [
 			'patient' => $patient,
 			'opdGroups' => $opdGroups,
+			'profile_file_path' => $profileFilePath,
 		]);
 	}
 
diff --git a/app/Views/billing/Patient_Profile_Opd_V.php b/app/Views/billing/Patient_Profile_Opd_V.php
index 65f5b81..d02dce2 100644
--- a/app/Views/billing/Patient_Profile_Opd_V.php
+++ b/app/Views/billing/Patient_Profile_Opd_V.php
@@ -121,15 +121,22 @@
                 </div>
                 <div class="patient-info-card">
                     <div class="patient-info-title">Patient Information</div>
-                    <div class="patient-info-row">
-                        <div class="patient-info-item">
-                            <span class="label">Name:</span>
-                            <span class="value"><?= esc($patientName !== '' ? $patientName : '-') ?></span>
+                    <div class="d-flex align-items-start gap-3">
+                        <?php if (!empty($profile_file_path)) { ?>
+                        <div class="flex-shrink-0">
+                            <img src="<?= esc($profile_file_path) ?>" alt="Patient Photo"
+                                 style="width:72px;height:72px;object-fit:cover;border-radius:50%;border:2px solid #aac4f0;">
                         </div>
-                        <div class="patient-info-item">
-                            <span class="label">Relation:</span>
-                            <span class="value"><?= esc($relationWithName !== '' ? $relationWithName : '-') ?></span>
+                        <?php } ?>
+                    <div class="patient-info-row" style="flex:1;">
+                        <div class="patient-info-item w-100" style="font-size:1.18rem;font-weight:700;color:#0b3b91;line-height:1.3;">
+                            <?= esc($patientName !== '' ? $patientName : '-') ?>
                         </div>
+                        <?php if ($relationWithName !== '') { ?>
+                        <div class="patient-info-item w-100" style="font-size:0.88rem;font-weight:400;color:#374151;margin-top:1px;">
+                            <?= esc($relationWithName) ?>
+                        </div>
+                        <?php } ?>
                         <div class="patient-info-item">
                             <span class="label">Age:</span>
                             <span class="value"><?= esc($ageDisplay !== '' ? $ageDisplay : '-') ?></span>
@@ -139,6 +146,7 @@
                             <span class="value"><?= esc($firstVisitDisplay) ?></span>
                         </div>
                     </div>
+                    </div>
                 </div>
             </div>
         </div>
diff --git a/app/Views/billing/opd_prescription_basic.php b/app/Views/billing/opd_prescription_basic.php
index c0b4aab..08a43c7 100644
--- a/app/Views/billing/opd_prescription_basic.php
+++ b/app/Views/billing/opd_prescription_basic.php
@@ -410,7 +410,10 @@
                 <div class="rx-meta-box mb-3">
                     <div class="row g-2 align-items-start">
                         <div class="col-8">
-                            <div class="rx-meta-line"><strong>Name:</strong> <?= esc($patientNameWithRelation !== '' ? $patientNameWithRelation : '-') ?></div>
+                            <div class="rx-meta-line"><strong>Patient Name:</strong> <span style="font-size:1.18rem;font-weight:700;color:#0b3b91;"><?= esc($patientName !== '' ? $patientName : '-') ?></span></div>
+                            <?php if ($relationLabel !== '') { ?>
+                            <div class="rx-meta-line" style="font-size:0.88rem;font-weight:400;color:#374151;margin-top:1px;"><?= esc($relationLabel) ?></div>
+                            <?php } ?>
                             <div class="rx-meta-line"><strong>UHID:</strong> <?= esc($patient_master[0]->p_code ?? '') ?></div>
                             <div class="rx-meta-line"><strong>Age:</strong> <?= esc($patient_master[0]->str_age ?? '') ?></div>
                             <div class="rx-meta-line"><strong>Gender:</strong> <?= esc($patient_master[0]->xgender ?? '') ?></div>