Draw or print the images on thick cardboard or tag board. Cut a second piece of your desired background that is the same size as the printed page.
Cut a hole in the middle of the picture or a selected area (such as the chest of a duckling or the roof of a car).
Place the textured item behind the hole. For example, place scaly-feeling material behind the hole cut in a fish. Glue in place with tacky glue. Wait one day for the glue to dry.
Glue the two pieces of cardboard together. Use a thick hole punch or scissors to cut a hole along the margin. Use string to tie the pages together.