Thank you for looking! This is a Familiar mother and child health handbook case. I only carried it a few times for checkups, so I personally don't think it shows much wear. Please refrain from purchasing if you are overly concerned about condition. The understated embroidered accent and the apple embroidery on the zipper tag are very cute, and I loved it very much. It also has a pocket with a zipper, so I could safely carry amulets and other items. I hope you will purchase it with the understanding that it is a used item. [Size] There may be some slight variations. 23cm x 17cm