Holds 18 cards. I used it to hold two people's maternal and child health handbooks, medical record notebooks, insurance cards, and examination tickets all together. I think it's easy to use even for twins or children born a year apart. White fabric with animal illustrations Multiple card pockets and a compartment with a zipper Dividers for easy organization Large size, can hold a lot As you can see in the image, there are visible stains. Please purchase only if you understand that this is a used item. Instant purchase OK Birthday teteatete Gelato Pique Gelato Pique