Medical Record Case Also suitable for passbooks, etc. Size: Closed: Approximately 18 x 13 cm (including bias tape) Large pocket: Approximately 18 x 11.5 cm (including bias tape) Large pockets: 2 Card pockets (horizontal): 4 Card pockets (vertical): 1 All use interfacing. Snap button closure. Made with reference to a medical record book. The image shows examples of a medical record book and cards. The apple peeking out on the inside is because: ✂︎ It was slightly cut, and I noticed it after it was finished, so I sewed the apple on to make it cute. Please understand that this is a handmade item by an amateur. It may be removed suddenly as it is also listed on other sites.