The image shows a document titled "PHUEU DAT BANH" which translates to "Pharmacy Bill" in English. The document appears to be a receipt or bill for a pharmacy service, listing various items and their respective prices. The document includes the following information:

- The first line: "Phuoc Dat Banh"
- The second line: "Phuoc Dat Banh"
- The third line: "Phuoc Dat Banh"
- The fourth line: "Phuoc Dat Banh"
- The fifth line: "Phuoc Dat Banh"
- The sixth line: "Phuoc Dat Banh"
- The seventh line: "Phuoc Dat Banh"
- The eighth line: "Phuoc Dat Banh"
- The ninth line: "Phuoc Dat Banh"
- The tenth line: "Phuoc Dat Banh"
- The eleventh line: "Phuoc Dat Banh"
-