Handmade item. Material: Nylon-like fabric Width: 10cm Height: 15.3cm Please note that there may be slight variations due to the handmade nature of the product. This is a notebook-style case that can hold your health insurance card, medical examination card, and other cards. (It does not fit a prescription record book.) Photo 3: Left side: Holds health insurance card size cards, with space for 3 pages. (This size is for the paper-based Elderly Healthcare Insurance and Long-Term Care Insurance cards.) Right side: Holds medical examination cards and cash card size cards, with space for 5 cards on one page. Although it is new and unused, please understand that it is handmade, sewn with a sewing machine, and has metal fittings attached with a hammer. Also, there may be some creases from long-term storage. If you appreciate one-of-a-kind items, please consider purchasing. My parents used to sell many of these items at craft fairs, etc. #YoshimasaMade Production has been discontinued, and this is the last of the stock. I hope someone will use and enjoy them. #Handmade #HealthInsuranceCard #CardCase Thank you.