Thank you for viewing. This is a pouch made using used jeans. The size is approximately 15m in height and 15m in width, with no gusset. It has a D-ring attached. The medical record book is for size comparison. This is a handmade item using used jeans, so there may be some misalignment, distortion, re-sewing, and fabric damage. Also, the color may be slightly different due to the digital camera image. Thank you for your understanding.