The document discusses Azure SQL Database Ledger, which combines the power of blockchain with SQL. It allows making SQL database data tamper-evident through cryptography. All changes to the data are recorded in a verifiable historical record using cryptography proofs. Ledger tables in Azure SQL Database can be configured as updatable or append-only and cryptographically verify that database contents have not been tampered with. The technology enables use cases like a trusted off-chain store for blockchain data, streamlining auditing processes, and enabling multi-party business processes as an alternative to blockchain.