The image shows three elderly people, two women and a man, standing under a white tent. The man is on the left side of the image, wearing a black Hawaiian shirt with green leaves and a colorful lei around his neck. He is holding a sign that reads "Happy Birthday" in orange and yellow letters. The woman in the middle is wearing a red Hawaiian shirt and a red flower garland around her neck. The two women on the right side are wearing blue and white striped shirts. They are all smiling and appear to be happy. In the background, there are other people and tables and chairs, suggesting that the photo was taken at an outdoor event.