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Created by general-english-image-caption-blip on 2025-05-29

a photograph of a certificate issued for a health department

Created by general-english-image-caption-blip-2 on 2025-07-06

a health department card with the words health department

Created by gpt-4o-2024-11-20 on 2025-06-13

This image is a vintage notice template from the Health Department of Boston, Massachusetts, dated "191_," which leaves the exact year blank to be filled in. The form includes fields for the individual's name, age, address, school, street, and ward. It states that the person listed is required to discontinue attendance at school and has a section to specify the reason for this. The document also features the Boston City emblem in the upper left corner, as well as a smaller official seal at the bottom right. The phrase "School Physician" appears in the lower-right corner, suggesting the involvement of medical oversight or clearance. The text structure and design suggest it was used for medical or public health-related school absences.

Created by gpt-4o-2024-08-06 on 2025-06-13

The image is of an old form from the Health Department of Boston, Massachusetts. The form is titled "HEALTH DEPARTMENT, BOSTON, MASS." and appears to be used for notifying that a student is required to discontinue attendance at school.

There are several blank spaces provided on the form for filling in details:

• The date: The form shows "Date,_________191__".
• Name of the student: "Name,________________________________________".
• Age of the student: "Age,_______________".
• Address of the student: "Address, _____________________________________".
• Name of the school and street/ward: "School,____________________Street, Ward_______".

There is a section in bold, "IS REQUIRED TO DISCONTINUE ATTENDANCE AT," indicating the main purpose of the form, likely used for school absenteeism due to health-related issues.

At the bottom left corner, the form notes "SEE OTHER SIDE," suggesting that there may be additional information or instructions on the reverse of the document.

To the left, there's a seal that reads "BOSTONIA CONDITA A.D. 1630" with the Latin motto "SICUT PATRIBUS, SIT DEUS NOBIS," which means "As God was with our fathers, so may He be with us." This is Boston's city seal.

In the bottom right corner, there is a place for the signature or stamp of the "School Physician."

Overall, the form is a historical document related to public health and education, used to manage health-related school attendance issues.

Created by anthropic.claude-3-haiku-20240307-v1:0 on 2025-06-16

The image appears to be a form from the Health Department in Boston, Massachusetts. The form is dated 191 and is addressed to the recipient, requiring them to discontinue attendance at a specific school, street, and ward. The reason for this discontinuation is not provided, but the form is signed by a school physician. The form also includes the seal of the Health Department of Boston, Massachusetts.

Created by us.anthropic.claude-3-5-sonnet-20241022-v2:0 on 2025-06-16

This is a historical form from the Health Department of Boston, Massachusetts, likely from the 1910s based on the "191_" date format shown. It appears to be a medical exclusion form used to document when a student was required to discontinue attendance at school. The form includes blank spaces for the date, student's name, age, address, school information including street and ward number, and reason for discontinuation. There's a space at the bottom for the School Physician's signature. The form has an official seal of Boston in the top left corner and includes "SEE OTHER SIDE" printed at the bottom left. It's a simple, formal document printed in black text on what appears to be light-colored paper.

Created by us.meta.llama3-2-11b-instruct-v1:0 on 2025-06-11

The image depicts a vintage health department form from Boston, Massachusetts, dated 1911. The form is designed to be filled out by hand and features a formal layout with various sections for personal and medical information.

Form Layout:

• Top Section: The top section of the form displays the title "HEALTH DEPARTMENT, BOSTON, MASS." in bold black text, accompanied by a circular logo on the left side that reads "BOSTONIA CORPITAS" and features an illustration of a building.
• Date and Name: Below the title, there are two lines for the date and name, respectively. The date is written as "191" with a blank space for the year, while the name is written in cursive script.
• Address: The next section is labeled "Address" and features a blank line for the address, followed by a series of dotted lines for additional information.
• Reason: The final section is labeled "REASON:" and has a blank line for the reason why the person is required to discontinue attendance at school.
• School Physician: At the bottom right corner of the form, there is a section labeled "School Physician" with a blank line for the physician's name.

Overall Impression:

The form appears to be a formal document used by the health department to track and manage health-related information. The use of a circular logo and formal layout suggests a sense of authority and professionalism. The blank lines and dotted lines indicate that the form is intended to be filled out by hand, and the presence of a school physician's signature suggests that the form may be used in conjunction with educational institutions. Overall, the form exudes a sense of formality and officialdom, reflecting the importance of health and medical information in the early 20th century.

Created by us.meta.llama3-2-90b-instruct-v1:0 on 2025-06-11

The image depicts a vintage postcard from the Health Department in Boston, Massachusetts. The postcard is beige with black text and features a circular stamp in the top-left corner that reads "BOSTONIA" and "1850." The main body of the postcard includes spaces for the recipient's name, address, date, age, school, street, ward, reason for discontinuing attendance, and the school physician's signature.

The postcard appears to be a notification or request related to a student's attendance at school, possibly due to health reasons. The presence of the Health Department's logo and the specific details required on the postcard suggest that it was used for official purposes, such as reporting absences or requesting medical clearance for a student to return to school. Overall, the image provides a glimpse into the administrative processes of the Health Department in Boston during the early 20th century.

Created by amazon.nova-lite-v1:0 on 2025-06-09

The image is of a document from the Health Department of Boston, Massachusetts. The document is titled "Health Department, Boston, Mass." and is dated 191. The document is in the form of a letter, with the heading "Date," followed by the name of the person, their age, and their address. The letter also includes a reason for the person to discontinue attendance at a school, as well as the signature of the school physician. The document also includes a seal with the words "Bostonia Condita 1630" and "Regimine Donata 1880."

Created by amazon.nova-pro-v1:0 on 2025-06-09

The image shows a form from the Health Department of Boston, Massachusetts. The form is printed on white paper, and it has a logo in the upper left corner. The form has blank spaces where information is to be filled in. The form has the heading "Health Department, Boston, Mass." There are blank spaces for the date, name, age, address, school, street, ward, and reason for discontinuing attendance. There is also a space for the school physician's signature. The form has the number "21" at the bottom, and it has the words "See other side" written on the bottom left corner.

Created by gemini-2.0-flash on 2025-06-03

Here is a description of the image:

The image shows a form from the Health Department in Boston, Massachusetts. The form is titled "Health Department, Boston, Mass" at the top, with the city's seal to the left. Below this are several fields with dotted lines for information, including "Date," "Name," "Age," and "Address." The form also states, "IS REQUIRED TO DISCONTINUE ATTENDANCE AT" with spaces for the "School" and "Street, Ward." A section for "REASON" is provided, as well as a space for "School Physician" to sign. The bottom left corner reads, "SEE OTHER SIDE," and the bottom center shows a logo for Allied Printing Trades Council Union Label with the number 21. The date field has a place for the date 191_. The overall design is simple and functional, typical of forms from that era.

Created by gemini-2.0-flash-lite on 2025-06-03

The image shows a vintage, possibly early 20th-century document from the Boston Health Department. It appears to be a form or notification regarding a student's required discontinuation of school attendance.

Here's a breakdown:

• Header: "HEALTH DEPARTMENT, BOSTON, MASS." sets the context.
• Information Fields: The form includes lines to fill in:
  • Date (with the year "191", suggesting a date in the 1910s)
  • Name
  • Age
  • Address
  • School, Street, and Ward
  • REASON (for the discontinuation of attendance)
• Statement: "IS REQUIRED TO DISCONTINUE ATTENDANCE AT"
• Footer: Includes the title "School Physician"
• Logos/Seals: Features the seal of Boston.
• Typography and Design: The document has a classic, utilitarian style, with simple fonts and layout, typical of the time period.

Overall, it's a historical document revealing insights into public health and school attendance procedures in early 20th-century Boston.

Created by us.mistral.pixtral-large-2502-v1:0 on 2025-06-06

The image depicts a historical form issued by the Health Department of Boston, Massachusetts. The form appears to be from the year 1911. It is titled "HEALTH DEPARTMENT, BOSTON, MASS." and includes a seal of the City of Boston on the upper left side.

The form is designed to officially require a student to discontinue attendance at school. The fields to be filled out include:

1. Date: The date is already filled in as 1911.
2. Name: A space for the student's name.
3. Age: A space for the student's age.
4. Address: A space for the student's address.
5. School: A space for the name of the school.
6. Street, Ward: A space for the street and ward where the school is located.
7. Reason: A space for the reason why the student is required to discontinue attendance.

At the bottom right, there is a signature line for the School Physician. The form also includes a note at the bottom left that says "SEE OTHER SIDE," indicating that there is additional information or instructions on the reverse side.

The form number is indicated as "21" at the bottom right corner. The overall design and language suggest that it was used to document and communicate health-related reasons for a student's absence from school.

Created by Qwen/Qwen2.5-VL-7B-Instruct on 2025-07-16

This is an official document from the Health Department of Boston, Massachusetts, dated 191. It is labeled as "8-12-XM" and has a circular seal in the top left corner that reads "Boston Public Health Commission" with a date of "1855." The document is titled "HEALTH DEPARTMENT, BOSTON, MASS."

The form includes fields for the recipient's name, age, and address, as well as a section stating that the individual is required to discontinue attendance at a specified school and street/ward. There is a field for the reason for discontinuing attendance and a space for the School Physician to sign and write the date.

At the bottom, it states "SEE OTHER SIDE," suggesting that additional information may be found on the reverse side of the document. The bottom right corner is marked "21," possibly indicating a form number or version.

Created by Qwen/Qwen2.5-VL-72B-Instruct on 2025-07-16

This image is a document from the Boston Health Department in Massachusetts, dated from the early 20th century. It appears to be a notice requiring an individual to discontinue their attendance at a school. The form includes fields for the date, name, age, and address of the individual. It also has spaces to fill in the name of the school, the street and ward where the school is located, and the reason for discontinuing attendance. There is a section at the bottom for the signature of the school physician. The document also features a circular seal or stamp on the top left corner, indicating its official nature. The text "SEE OTHER SIDE" suggests there is additional information or instructions on the reverse side of the form.