Thank you for viewing! I am selling a handmade leather medicine notebook and card holder. It is designed to clearly store your medicine notebook, insurance card, and My Number card on the left side, and your medical examination cards on the right side. This appears to be faux leather at first glance, but it is actually cowhide, film-laminated, and vegetable-tanned leather. It is a firm leather with a moderate sheen. It is used in high-end bags. It is resistant to dirt and water, and scratches are unlikely to occur even if scratched with a fingernail, so it is a durable material. I hope you will purchase this item understanding that it is a handmade product. Thank you very much.