Trivia: Ben Sullivan, Dr. Cox's best friend and brother-in-law, loves his camera and takes pictures everywhere he goes. Brendan Fraser, who plays Ben, has a great interest for photography in real life.
Trivia: The picture of the lady in Ted's office is his real-life mother.
Trivia: Scrubs creator Bill Lawrence also co-created the show Spin City. Of the ten main actors on Spin City, seven subsequently made guest appearances on Scrubs, some multiple times. The only three who never appeared on Scrubs are Charlie Sheen (Charlie), Connie Britton (Nikki), and Victoria Dillard (Janelle).
Answer: No, it was a fake, they used a stamp.
It is real.