The short version
The patient photo is the second evidence layer: start it, leave it on the desk until it visibly finishes, then compare it against the live patient. A finished photo showing different eyes, a deformed head, or limbs from another animal is a reject. Cursed frames cost 10 Sanity if you grab the photo early. Static is the documented dispute — one publisher guide treats it as decisive while a community test recorded static on patients that later passed — so static alone belongs in RECHECK, not in a verdict.