Handmade item. This is a standard-sized pocket tissue cover. It is not the mini pocket tissue cover size for kids. The blue heart pattern and purple ribbon pattern are made of oxford fabric. The macaron pattern on the right is made of sheeting fabric. Lined. It has a tab, so you can hang it on your bag with a ball chain, or attach a name tag or key holder. Height: Approximately 12 cm Width: Approximately 9 cm (Please note that there may be slight variations) Although it's a pocket tissue cover, you can also use it to cool down your lunch box by putting in a mini ice pack. I discreetly put sanitary products in mine. How about for young girls? Also, if it's possible to ship together with the items currently listed, I will offer a combined discount, so please feel free to ask. *Tissues are not included. I will ship via regular mail. Thank you.