Exceptional early 20th-century silver gelatin photograph documenting the first graduating class of nurses at Isabella Fisher Hospital in Tientsin (Tianjin), China, dated 1914. The mounted print measures 5½" x 8" on its original 9½" x 12½" studio board, and shows eighteen women—Chinese and Western—posed in starched uniforms and nursing caps on the hospital's front steps beneath a sign reading “Established 1881 – Hospital 1914.”

The handwritten verso notes read: “Isabella Fisher Hospital, Tientsin, China – 1st Class of Nurses” and is embossed with the mark of Yung-Heng, a known photographer in Tianjin during the Republican era. A mix of missionary nursing staff and Chinese trainees reflects the transitional moment in Chinese medicine when Western missionary hospitals were beginning to formally educate local women in modern nursing.

Images of early Chinese nursing graduates, especially from the first cohort of a major missionary hospital, are incredibly scarce. This photograph marks a milestone not only in the modernization of Chinese medical care but also in the advancement of women’s professional roles in early 20th-century China. An important and evocative artifact of cross-cultural medical history and international nursing education.