Red Cross patch. Only the patch in the first photo is for sale. Can also be used to indicate medical pouches, aid kits, first aid kits, and first aid boxes. The back is Velcro. Velcro has an A-side (the scratchy side) and a B-side (the fluffy side), but only the A-side is attached to the patch. #Torazo Outdoor ★Size Approx. 38mm x 38mm If you have any questions about the product, please feel free to contact us. [About Imported Goods] We inspect all items before shipping, but as they are imported goods, there may be some loose stitching, roughness, slight fraying or distortion, small scratches, or minor stains. The item may have been opened for inspection. We are very sorry, but we cannot negotiate prices due to various circumstances. In addition, we may remove the listing due to inventory status or other reasons. Thank you for your understanding. #Torazo Outdoor