As shown in the photo, there is a stamp on the side. There are no other stains or spots, and the inside is a used book with no writing, underlining, folds, or stains. Please refrain from purchasing if you are sensitive. Please understand that we cannot negotiate prices. The book will be wrapped in plastic for shipping to ensure waterproofing. - Title: On-Call Handbook - Author: Takashi Shiga - Publisher: Chugai Igakusha - Features: Practical book for residents - Content: Content to resolve questions during on-call duties and in emergency situations - Condition: Good - Number of pages: Thick Thank you for looking.