The image is a collage of six photos of a couple posing for a photo booth. The photos are arranged in a grid-like pattern, with each photo showing a different angle of the couple. 

The first photo on the top left shows the couple smiling and posing for the camera. They are both wearing hats and bow ties, and the man is wearing a suit and tie. The woman is also smiling and making a silly face with her mouth open, while the man has a fake mustache.

In the top right photo, the couple is posing with their arms around each other, and they are both looking at the camera with a playful expression. The background is black, and there is text on the bottom right corner that reads "Department of Anesthesiology, Perioperative and Pain Medicine Holiday Party."