Rectangular portrait cream piece of paper printed with delicate black text, filled in with relevant details such as date and names in black caligraphy style ink and blue hand written ink. Details of Dr Joan T Graham's qualification with the Royal College of Obstetricians and Gynaecologists. Coat of arms of college at the bottom of the diploma, relief embossed. Coat of arms shows shield with star in the centre, a figure on either side of the shield. Above the shield is a crescent moon on its back.