8" X 12.5" photo album, which belonged to Miss Elma Kottal, of St. Rose Hospital in Great Bend, Kansas. It starts with photos of the graduating class of 1940. There are around 160 photos in the album, many showing nurses, and others of Elma and her friends. A few photos show a trip to Mexico, and it shows life in the mid-west in the 1930s and 40s. All the pages are detached and a handful of photos are missing.