The middle opening was, of course, mandatory because that's where the sword's tang fits, but the lateral holes were optional, the left one was made to allow a small utility knife mounted on the sheath, while the right one was for a hair arranging tool called kogai.
EXIF info:
Nikon Df
Lens: 24-70mm F/2.8G
Focal Length: 70mm
Aperture: F/13
Shutter Speed: 1/60s
ISO Sensitivity: ISO 3200