It says FURUBA (Fruits Basket), Episode 18, Cut
38. And on the left, BG (1) Darkish space. And
"Tears" on the character's eyes.
The rest just says Studio Deen and copy BG.
Since this is rough layout sketch, the actual
anime may not have this exact same frame. So to
find the screencap, you might want to look for
the shot that's similar to this and the
description given. I'm sorry I haven't watched
FB for a long time so I don't quite recall... but
could it be child Yuki-kun crying? ^_^
Hope this helps!