This New sterling silver rectangular heavy engraveable medical ID alert charm for a bracelet or necklace is very nice. It is very detailed and has a cross engraved with a medical cadecous in the center on the front. It is 2.7 cm tall and 1.6 cm wide and 2mm thick! The photo is an example of what kind of engraveing you can have done, but it is not included and I can no longer have additional engraing on items.