Image set of 3 items. The refill is new with tags. The case is "like new". Please check the condition in the images. MUJI (Mujirushi Ryohin) Mother and Child Health Handbook Case Refill - Small A6 size compatible There was a small black dot, so I included a picture (image 3). It was there when I purchased it. I had stocked up on these for my family. I am selling the unused ones. I plan to wrap them to prevent them from getting wet and ship them via simple packaging, Yu-Packet Post. Please refrain from purchasing if you are sensitive to minor imperfections. No price reduction. No individual sales. *Replies to comments and shipping may be delayed. You can organize your mother and child health handbook, insurance cards, etc. together. It comes with a D-ring that allows you to put a marker on each refill. There are 4 card pockets, and they are vertically oriented for easy access.