Thank you for viewing! This is a handmade leather medicine notebook and health insurance card holder. The left side holds your medicine notebook and My Number card, and the right side has pockets for your health insurance card and prescription, making it easy to organize. I myself started using this case and have forgotten my medicine notebook or lost my health insurance card less often. The leather on the front uses popular vegetable-tanned leather and is treated with a leather coat to prevent stains. This item allows you to enjoy the aging process as it changes to an amber color over time. The degree of change varies depending on the individual item and storage conditions. Although it is new, there may be scratches, streaks, and uneven coloring from the dyeing process due to the natural leather. Therefore, the condition of the product is listed as "no noticeable scratches or stains." Each item is carefully made, but it is created through trial and error. Please understand that the finish is not like a mass-produced product. Also, We select the best parts of the leather for production, but there may be natural scratches or wrinkles from the manufacturing process, so please understand. Please refrain from price negotiations. The monster in the photo is not included. Thank you very much.