Created by gemini-2.0-flash on 2025-05-07

Here's a description of the image:

The image shows a pink record card form with lined sections for handwritten information. The card is divided into columns with titles such as "No.," "ST.," "FLAT (Upper/Lower)," "Front/Rear," "Date," "Name," "Termination," and "Date Disinfected." The card has horizontal lines for filling in information across the rows. At the bottom of the card, "Form 4 T. B." is printed, suggesting this is a tuberculosis-related form. A small number "62" is written in the upper right corner. The card is likely intended for recording data related to apartment occupancy, disinfection, and termination of tenancy.

Created by gemini-2.0-flash-lite on 2025-05-07

The image shows a pink form, likely used for record-keeping. At the top, there are fields for "No.", "St.", "Flat" (with options for "Upper" and "Lower"), "Front" and "Rear," and "No. of Apartment". Underneath these headings, there's space for data about: "Date," "Name", "Termination," "Date", and "Date Disinfected". The form includes a note about "Form 4 T. B." at the bottom left corner. There appears to be some handwritten numbers in the upper right corner, but the majority of the form is blank and intended for data entry.