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Lady Jayne Note Pads are printed with beautiful designs so you can keep these pads out all the time, on the top of your desk, on the counter, and next to the phone. Spiral Nurse Pattern Foil- 4 1/2 in. x 3 in. spiral bound printed pad with heavy chip board cover and elastic band closure. Cover design features Band-Aids, flowers, heart rate monitor lines that say: nurse, and heart shaped stethoscopes accented with rose gold foil on a dark blue background. Mint colored elastic band keeps pages secure by wrapping around the outside cover. Spiral binding is rose gold. Printed pages have a heart stethoscope with flowers in the bottom left corner.