Afternoon Tea mother and child health record book case. Used a few times, but overall it is clean. There is a small brown stain on the tag part of the cover (see 5th image). It is easy to use with a pen holder and a pouch. - Design: Animal pattern (lion, mouse, etc.) - Color: Cream - Size: Approx. 23 x 17.5 x 2 cm - Accessories: Small item pouch Thank you for looking.