It's a certificate of validation, validating the soldier's (Private First Class, Itō Hirokichi) injury. The soldier was injured on January 7th, 1942, near the docks in the port of Saigon. The soldier sprained his leg around 3:00pm while unloading drum cans that had come from a rubber plantation. The person who wrote and signed the document is Army Logistics Lt. Fukui Naoto (could also be read as Haruto).