#1 Nurse Silvertone Cap Medicine Band Aids Needle Charms Magnet Bracelet Nursing RN Fashion Jewelry Silvertone metal based bracelet is approximately 7 1/2" long. Charms are approximately up to 3/4" tall which include a silvertone charm that has #1 nurse written on it, a red and white epoxy charm that shows a needle/shot, a red and white epoxy charm of a cup with a thermometer, and a red and white epoxy charm with a nurse's cap, band aid, and medicine. There are a total of ten charms going around entire bracelet. Most of our items come in gift box or velvet pouch. This is a fashion/costume jewelry piece.