This high-quality I.D. tag is both durable and attractive. The adjustable design allows it to fit securely on all Littmann stethoscope models at the yoke area. The customer has the option to affix either a write-on or engravable name plate (both included in package). Once the name plate is secured to I.D. tag, it also serves as a name badge. STETHOSCOPE NOT INCLUDED! No returns on engraved products.