This is a set of the new, adorable "Pom Pom Purin (Tatenori)" medical record book and a special protective cover to keep it safe. (Individually packaged, unopened) Both items are brand new and unused. The medical record book is A6 size, with 36 pages, a thick type that can be used for a long time. There is no information (such as stamps) of pharmacy names, etc., on the back. The special protective cover has slits to store your health insurance card and other cards.