The image is a photograph of a piece of white paper with black text written on it. The text reads "15 Febbraio 17:22" which translates to "15 February" in English. Below the text, there is a list of names written in blue ink. The names are:

- Haldol (Antipsicotico)
- Valium (Anisolutico) - Fenergan (Antistaminico) and Tranquillante
- Prelevato

The paper appears to be slightly crumpled and is resting on a wooden surface. The handwriting is neat and legible, and the text is written in a cursive style.