The image you've sent appears to be a scanned document with some handwritten notes on it. The text is not fully legible due to the quality of the scan and the angle at which the photo was taken, but there are visible red-pen annotations suggesting corrections or emphasis. There seems to be a list numbered from 1 to 12, each line containing instructions or information that might be part of a training manual or educational material. The document itself is not clearly readable due to the image's resolution and orientation.