These Rx pad holders have already been sold, but I would be happy to make a similar custom item for you.
This is a relatively small item and I will make it in few days after your order.
Let's discuss in detail, and you can provide me with your favorite themes and ideas.
The prescription holder was made to hold 2 pads with slightly different sizes (or same size), one vertical pad on each side, with a flap under the left pad for scripts.
I used fine calf leather that was tooled with the design the client chose. The lining was made out of very thin fine leather, stitched to the harder cover.
The dimensions of the prescription pad holder are:
6 3/4" tall
5 " wide
3/4 " deep (when filled with the prescription pads)
It's meant for prescriptions 4,5" x 5,5". The prescriptions used in the photos are a bit smaller.
You can see more ideas about how a PP holder can look like here:
https://www.pinterest.com/madeofleather/prescription-pad-holders/
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Product code: Leather Rx Cover; Prescription store Pad Holder For Two US Size Prescriptions Pads