There are five people in the image. They are dressed in formal attire, including suits and ties. The individuals appear to be engaged in a medical or administrative context, possibly in a hospital or clinic setting. One person is holding a piece of paper or document, while another is standing with their hands clasped together. The remaining three individuals are standing close together, with one person holding what appears to be a medical equipment or tool. The overall scene suggests a professional interaction, possibly related to healthcare or administrative tasks.