Thank you for viewing! This is a handmade leather medical record book and health insurance card holder. The left side has pockets for the medical record book and cards, and the right side has pockets for the health insurance card and prescription, which are separated for easy organization. It is made by dyeing vegetable-tanned leather and is entirely hand-stitched. It is coated with acrylic leather fix. We appreciate your understanding that this is a handmade item. Please refrain from price negotiations. We will consider adjustments as needed. Mercari product information: High-quality leather brown medical record book case, practical with card pockets. - Color: Brown - Material: Leather - Number of pockets: 4 card pockets, 1 free pocket - Closure: Button closure Thank you.