Brand new and unopened! The bag is also clean and undamaged, making it suitable for gifts♪ This convenient case can store all your essentials for medical visits, such as your medical record book and insurance cards. By keeping all your medical items together, you can respond quickly to sudden house calls and avoid forgetting anything! ★ Holds up to 20 insurance cards, which tend to increase with age, keeping your important cards safe. ★ Features a convenient mesh pocket for storing your medical record book. ★ Zippered pocket to manage valuable medication and change. ★ Available in 4 colors. Card slots x 20 / Mesh pocket x 1 / Zippered pocket x 1 / Pockets x 2 / Pen holder x 1 ※ Ships via Click Post (Japan Post) ※ Shipping arrangements cannot be made on Saturdays, Sundays, and holidays.