The image is a page from a book or document, specifically page 3. The text on this page appears to be in Vietnamese and discusses topics related to orthopedic surgery. The content includes references to "Realtime PCR" and mentions a number of medical terms and phrases such as "trường hợp xác định," "surgery," "orthopedic surgery," and "2,000 units of real-time PCR." The page also contains a logo or emblem at the top right corner.