The image shows a document titled "Pha Duyet Day Mua Ban Hoa Don Khong 21.000 T" which translates to "Approval Day of Purchase of Flower Donation 21,000 T". The document appears to be related to a specific event or transaction involving flower donations, with a reference number "21.000 T" indicating some form of identification or tracking number. The document is held by someone's hand and is placed on a table.