Microsoft
created by unknown on 2019-06-05
Clarifai
created by general-english-image-caption-blip on 2025-05-29
Google Gemini
Created by gemini-2.0-flash on 2025-05-25
Here's a description of the image:
The image is a historical form titled "REPORT OF INFECTIOUS DISEASES TO THE STATE BOARD OF HEALTH." At the top left is the number "500. 8-15-'10." Below the title is the phrase "As required by the provisions of Chapter 75, Section 52, Revised Laws." The form contains a table with columns for "DISEASE," "NAME," and "ADDRESS," indicating that the form is for recording details about cases of infectious diseases. Each column has horizontal lines for filling in the relevant information. Below the table is a space for the "Signature of Sec'y or Agent of Board of Health." The form is printed in a dark color (likely black or dark brown) on light-colored paper. The overall impression is of an old, official document from a time when reporting infectious diseases was a formal and regulated process.
Created by gemini-2.0-flash-lite on 2025-05-25
The image shows a form for reporting infectious diseases to the State Board of Health. The form is printed on a pale yellow or tan paper, with the text in a dark font. At the top of the form is the title "REPORT OF INFECTIOUS DISEASES TO THE STATE BOARD OF HEALTH." Below the title, it indicates that the form is required by the provisions of Chapter 75, Section 52, Revised Laws. There's a space to indicate the date of the reported cases, followed by a section to report the cases with columns labeled "DISEASE," "NAME," and "ADDRESS." At the bottom is a line for the "Signature of Sec'y or Agent of Board of Health." The number "500. 8-15-'10" appears at the top left corner.