The image is a photograph of a certificate of recognition issued by the FPA India Family Planning Association of Lucknow, India. The certificate is rectangular in shape and has a blue border. The text on the certificate reads "This Certificate of Recognition is hereby bestowed upon Pat Ramsarup, Durban, South Africa in appreciation of her committed and persistent contribution spanning over decades, to improve nursing services and health in South Africa." Below the text, there are two signatures, one of Mr. Ashish Shrivastava, the Executive Director of the Family Planning Associations of India, and the other of the President Lucknow College of Surgeons. 

At the top of the certificate, there is the logo of the association, which is a blue circle with the letters "FPA India" in white. Below the logo, it reads "3rd January 2018" and "CNS".