This is a name tag specifically for Littmann stethoscopes. It comes with a silver plate for engraving and a white plate for handwritten names. Attach the plate to the name tag, and then attach the name tag to the U-shaped tubing of the stethoscope. This is an original Littmann name tag. It includes a silver plate for engraving and a white paper plate. Attach the engraved or handwritten plate to the name tag, and then attach the name tag to the U-shaped tubing of the stethoscope. Since it is new and unused, there are no images of the opened package.