※ This listing is for one used item only. The left side was used for about a year, and the right side is unused. ※ Refills are not included. Everything in the photos is what's included. I used it to hold my maternal and child health handbook, medical record book, and insurance card. It has a simple design and was easy to take things out. There are pen marks on the used one, but they are not very noticeable and are hidden when the folding flap is closed. Please note that it may be folded for shipping. Photos 5 and 6 are from the official website. Outer dimensions: Approximately 22 x 15 cm Inner dimensions: Approximately 20.5 x 12 cm Purchase price: 1,290 yen each (2,580 yen for both)