This is a set of a maternal and child health handbook case and a pouch. Originally, they were sold separately. The pouch has a tag, but the maternal and child health handbook case has had its tag removed. I didn't use it because the size didn't fit my maternal and child health handbook, so I bought another case and stored this one. Although unused, there is some slight discoloration on the zipper pull due to the passage of time. Please check the photos. (Photo 4) This item has been inspected by an amateur and stored at home. Please consider this item, understanding that it is a used item. #GelatoPique #MaternalAndChildHealthHandbook #Pouch #DiaperPouch