EMT Caduceus USA Flag 2.25 x 3.5 inch Morale Patch (Black) 2.25 inches high by 3.5 inches wide Includes hook fastener on back. Great for backpacks, range bags and jackets. Camouflage background will vary by patch. Made in the USA, not mass-produced overseas. Visit Tactical Gear Junkie seller page for whole line of patches.