BOSCA Old Leather Prescription Pad Cover Hand-stitched, hand-stained, vegetable dyed, Italian leather Embossed caduceus symbol on front Prescription pad holder holds in either direction Pen loop Loose sheet slot Dimensions: 6.5" x 4.5" Made of Italian hand stained "old" leather, this prescription pad cover is elegant and durable with a handy pen loop. This is a used item and is monogrammed with the letters “RBK” and has stray marks and scratches in the leather. The edges are in great shape and not scuffed or worn. It’s a cool used quality leather piece from BOSCA!