The back has triangles to add in hanging the quilt. A small bamboo stick can be placed and hung on a picture hook (see where the pin is).
Here is the Gold Rush S.F. Santa design which makes it a little easier to appreciate the San Francisco elements included.
There’s the pan of gold Santa is holding in his left hand, the sourdough bread in his right. Just off his right elbow is the Golden Gate bridge and below that the cable car. The “E” area is the Coit Tower. The “I” area is the Crooked Street. The “J” flowers are poppies.