Thank you for viewing. This is a "The Very Hungry Caterpillar" mother and child health handbook case. It was kept at home after I stopped using it. The A6 size memo pad in photo 5 is pictured for size comparison and is not included in the product. Please purchase if you understand that this is a used item. It will be carefully packaged and shipped in simple packaging. - Design: Black background with white polka dots and the "THE VERY HUNGRY CATERPILLAR" logo - Interior design: Black background with illustrations, multiple pockets and a zippered pocket - Functionality: Abundant dividers and pockets for organizing documents and the health handbook - Size: Compact size, easy to carry