Thank you for viewing! This is a handmade review book cover for nurses and registered dietitians. It's a cute review book cover with a gingham check bear pattern ♡ It also has pockets! Size: Length: 24cm Width: 34cm ♡ The edges are sewn, making it sturdy and less likely to fray. ♡ Size adjustment buttons have been added. Please note that this is a handmade item, so there may be slight size variations, skipped stitches, fraying, or imperfections. We appreciate your understanding.