The image shows a piece of paper with the text "St. Michael's Department of Diabetes and Endocrinology" and "Appointment Detail Notice" printed on it. The paper appears to be a letter from a doctor to a patient, as indicated by the text at the top of the page. 

The letter is addressed to the patient and includes details about the appointment, including the date, location, and contact information. The patient's name, address, and phone number are printed in black text on a white background. The address is printed in a smaller font size and is located at the bottom of the letter. The phone number is printed on the top right corner of the paper.

There is also a note on the bottom right corner that reads "Please bring your Health Card (CHP) or other coverage with any changes to your address, phone number, or health insurance coverage. If you need to cancel your appointment, please call (416) 867-3679."

At the bottom left corner, there is a note that says "Directions: This letter is located on the left side of the hospital building. Register at the reception desk." The note is signed by the doctor and is dated "Swan, George M."