This item is from about 15 years ago. It's a bag exclusive to Keio University School of Medicine, designed to hold notebooks, textbooks, and an iPad, and folds in half to be carried under your arm. I used a different color of the same product back then. This one is a different color that I owned but never used. However, it has been stored folded, so there are creases in the center. The electrocardiogram design is stylish, fitting for a medical school. I am open to price negotiations. #Keio #KeioUniversity #KeioSchoolofMedicine #KeioHospital #Keio #KeioGoods #KeioGoods #MedicalSchoolEntranceExam #MedicalSchool #MedicalSchoolEntranceExam #Doctor #ShinanochoCampus #KEIO #PenMark #KeioMark #KeioMark #SEG #Electrocardiogram #ECG #KeioBoy