Shibori (likely silk) This item can store a medical record booklet and health insurance card. The front and back covers appear to be thick cardstock with silk adhered to them. It doesn't seem suitable for storing a large number of items. Ideal for simple, minimalist storage and portability. - Design: Kanoko Shibori (deer-spot pattern) - Material: Silk - Purpose: Case for medical record booklet - Size: Fits standard medical record booklet size This item is from a decluttering of my parents' home. I believe it's unused, but due to long-term storage without packaging, there is some slight soiling on the spine. Please refrain from purchasing if you are overly concerned about minor imperfections. Immediate purchase is welcome. If you purchase multiple items, I will offer a discount to reflect the difference in shipping costs. Please understand the above before purchasing.