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Created by general-english-image-caption-blip-2 on 2025-07-05

birth certificate, clinton mass, january 1, 1879

Created by general-english-image-caption-blip on 2025-05-03

a photograph of a document with a list of important documents to the board of the board of directors

Created by gpt-4o-2024-11-20 on 2025-06-08

The image is of a vintage public health form addressed "TO THE BOARD OF HEALTH, CLINTON, MASS." It is designed for reporting cases of tuberculosis. The form contains blank fields for medical professionals to fill out specific patient information, including:

1. Name
2. Age
3. Residence (Street and Number)
4. Occupation
5. Birthplace
6. Date of appearance of first symptoms

The form also has space for the doctor's signature, labeled "(Signed) M.D." At the bottom, there is a request for a "letter of advice" to be sent either to the doctor ("to me") or directly to the patient.

A specific mention is made of tuberculosis affecting the larynx or lungs. The structured design reflects historical efforts to monitor and control tuberculosis cases in a community.

Created by gpt-4o-2024-08-06 on 2025-06-08

The image depicts a vintage medical reporting form directed to the Board of Health in Clinton, Massachusetts. It is a standardized form intended for medical professionals to report cases of tuberculosis, specifically of the larynx or lungs. The form includes fields for patient details such as:

• Name
• Age
• Residence (Street and Number)
• Occupation
• Birthplace
• Date of appearance of first symptoms

There is also a space for the reporting physician to sign, marked by "(Signed) _________ M.D."

At the bottom of the form, there's a request reading, "Please send to [me/to patient] letter of advice," indicating the option to receive further guidance or recommendations regarding the tuberculosis case.

Created by anthropic.claude-3-haiku-20240307-v1:0 on 2025-06-12

The image appears to be a form for reporting a case of tuberculosis of the larynx and lungs to the Board of Health in Clinton, Massachusetts. The form requests information such as the patient's name, age, residence, occupation, birthplace, and date of appearance of first symptoms. It is signed by an M.D. at the bottom, indicating this is a medical report submitted by a doctor. The form instructs the doctor to send a letter of advice to the patient.

Created by us.anthropic.claude-3-5-sonnet-20241022-v2:0 on 2025-06-12

This is a historical medical form from the Board of Health in Clinton, Massachusetts. It appears to be a tuberculosis case report form, specifically for reporting cases of tuberculosis of the larynx or lungs. The form includes blank fields for:

• Name
• Age
• Residence (Street and Number)
• Occupation
• Birthplace
• Date of appearance of first symptoms

At the bottom, there's a space for a doctor's signature (marked "M.D.") and a note requesting to "Please send to me/to patient letter of advice." The form is printed on what appears to be aged paper, suggesting this is a historical document, likely from the early 20th century when tuberculosis was a major public health concern.

Created by us.meta.llama3-2-11b-instruct-v1:0 on 2025-05-27

The image depicts a vintage medical report form, titled "TO THE BOARD OF HEALTH" at the top. The form is addressed to the Board of Health in Clinton, Massachusetts, and is dated in the year 1900.

The form is divided into several sections, including:

• Patient Information: The form requests the patient's name, age, residence, occupation, birthplace, and date of appearance of first symptoms.
• Medical Information: The form asks for the type of tuberculosis (larynx or lungs) and any additional medical information.
• Signature: The form requires the signature of the physician who completed the report.

The form is printed on yellowed paper with black ink, giving it a vintage appearance. The text is in a serif font, with some words underlined for emphasis. The form is completed in black ink, with the patient's information filled in and the physician's signature at the bottom.

Overall, the image provides a glimpse into the medical practices of the early 20th century, specifically in the field of tuberculosis diagnosis and treatment.

Created by us.meta.llama3-2-90b-instruct-v1:0 on 2025-05-27

The image depicts a vintage medical form, likely from the early 20th century, used to report cases of tuberculosis. The form is titled "TO THE BOARD OF HEALTH" and features a series of questions and spaces for the patient's information.

Form Details:

• Title: TO THE BOARD OF HEALTH
• Location: CLINTON, MASS.
• Purpose: To report a case of tuberculosis
• Questions:
  • Name
  • Age
  • Residence (Street and Number)
  • Occupation
  • Birthplace
  • Date of appearance of first symptoms
  • Signature (M.D.)

Design and Layout:

• The form is printed on a beige background with black text.
• The title and location are centered at the top of the form.
• The questions and spaces for answers are arranged in a clear and organized manner.
• The form includes a space for the patient's signature and the signature of the attending physician (M.D.).

Historical Context:

• The form is likely from the early 20th century, when tuberculosis was a major public health concern.
• The use of a formal, printed form suggests that the reporting of tuberculosis cases was a standardized process.
• The inclusion of questions about the patient's occupation and birthplace may have been intended to help track the spread of the disease.

Overall, this image provides a glimpse into the past, highlighting the importance of public health reporting and the efforts made to combat infectious diseases like tuberculosis.

Created by amazon.nova-lite-v1:0 on 2025-05-27

The image is a medical report form titled "TO THE BOARD OF HEALTH CLINTON, MASS." It is a document used to report a case of tuberculosis of the larynx, specifically the lungs. The form includes sections for the patient's name, age, residence, occupation, birthplace, date of appearance of first symptoms, and a signature line for the attending physician. The report is addressed to the Board of Health in Clinton, Massachusetts, and requests a letter of advice to be sent to the patient. The form is filled out in black ink on a white background.

Created by amazon.nova-pro-v1:0 on 2025-05-27

The image is a document, which appears to be a medical report form. The document is titled "TO THE BOARD OF HEALTH CLINTON, MASS." and is likely used for reporting cases of tuberculosis of the lungs to the local health board.

The document has a beige background and is printed in black text. The text is organized in a structured format with headings and blank spaces for filling in specific details.

The document starts with a heading "TO THE BOARD OF HEALTH CLINTON, MASS." followed by a statement "I report the following case of tuberculosis of the lungs."

Below this statement, there are several blank spaces for filling in details about the patient, including their name, age, residence (street and number), occupation, and birthplace.

There is also a space for noting the "Date of appearance of first symptoms" and a signature line for the medical doctor (M. D.) who is reporting the case.

At the bottom of the document, there is a request for the Board of Health to send a letter of advice to the patient, indicating that the document is intended to initiate communication and guidance for the patient's care.

The document is likely used by healthcare professionals to report cases of tuberculosis to the local health authorities, ensuring that the disease is properly monitored and managed within the community.

Created by gemini-2.0-flash on 2025-04-30

Here's a description of the image:

The image is of a formal report form titled "To the Board of Health, Clinton, Mass." The form is designed to report cases of tuberculosis affecting the larynx or lungs. It prompts the reporter to fill in details such as:

• Name of the patient
• Age
• Residence (Street and Number)
• Occupation
• Birthplace
• Date of appearance of first symptoms

The form also includes a space for the reporter's signature followed by "M.D." indicating that it should be filled by a medical doctor. Finally, it asks the Board of Health to send a letter of advice either to the reporter or directly to the patient. The overall tone of the document is formal and clinical, reflecting the importance of reporting and tracking tuberculosis cases for public health purposes.

Created by gemini-2.0-flash-lite on 2025-04-30

This is a medical form, likely from the early 20th century, used to report a case of tuberculosis to the Board of Health in Clinton, Massachusetts. The form is printed on aged paper, and designed for a doctor to fill in details.

Here's a breakdown of what it shows:

• Heading: "TO THE BOARD OF HEALTH" and "CLINTON, MASS." These lines indicate the recipient and the city, respectively.
• Reporting Case: "I report the following case of tuberculosis of the larynx/lungs" - This phrase suggests the form is for reporting a specific case of the disease.
• Patient Information: The form includes blank spaces to fill in the patient's "Name," "Age," "Residence" (with a note to include street and number). It also had blank space for "OCCUPATION" and "BIRTHPLACE."
• Symptoms: The form has a spot for the "Date of appearance of first symptoms."
• Doctor's Information: The form includes space for the doctor's signature and ends with the letters "M.D." (Medical Doctor), along with a line for the doctor to fill in, "Please send to me to patient letter of advice".

The form looks like a piece of historical medical documentation, offering a glimpse into how tuberculosis cases were reported and managed at the time.

Created by us.mistral.pixtral-large-2502-v1:0 on 2025-05-28

The image is a historical form used for reporting cases of tuberculosis to the Board of Health in Clinton, Massachusetts. The form is titled "TO THE BOARD OF HEALTH" and specifies the location as Clinton, Mass.

The form is structured to report a case of tuberculosis of the larynx or lungs. The fields to be filled out include:

1. Name: The patient's name.
2. Age: The patient's age.
3. Residence: The patient's address, including street and number.
4. Occupation: The patient's job or profession.
5. Birthplace: The patient's place of birth.
6. Date of appearance of first symptoms: The date when the first symptoms of tuberculosis were noticed.

The form requires a signature from a medical doctor (M.D.) who is reporting the case.

At the bottom of the form, there is a request to send a letter of advice to the patient.

This form reflects the procedures and documentation practices used in the early 20th century for tracking and managing public health issues, specifically tuberculosis.

Created by Qwen/Qwen2.5-VL-7B-Instruct on 2025-07-08

This image appears to be a form intended for reporting a case of tuberculosis to the Board of Health in Clinton, Massachusetts. The form is designed to gather detailed information about the individual affected by the condition. It includes fields for the patient's name, age, residence (with both street and number), occupation, birthplace, and the date of appearance of the first symptoms of tuberculosis. At the bottom, there is a space for the medical doctor (M.D.) to sign the form. The form also instructs the doctor to send a letter of advice to the patient. The design suggests it is from an earlier time period, likely in the early 20th century, given the language and format.

Created by Qwen/Qwen2.5-VL-72B-Instruct on 2025-07-08

This image is of a vintage health report form addressed to the Board of Health in Clinton, Massachusetts. The form is used to report a case of tuberculosis, with the option to specify whether it affects the larynx or lungs. It includes fields for the patient's name, age, residence (street and number), occupation, birthplace, and the date of appearance of the first symptoms. There is a line for the signature of the reporting medical doctor (M.D.) and a request at the bottom for a letter of advice to be sent either to the reporting individual or directly to the patient. The form appears to be printed on aged paper, suggesting it is from an earlier time period.