Great notebook/journal to give as a thank you gift to your favorite pa or physician assistant… or anyone who has patients and wants to have some stress relief every now and then. Perfect heartwarming gift for a graduation. It could also function as a way for people to journal their days. This is great as a journal or notebook perfect for you to write your own thoughts, get a little creative with poetry or just writing down lists or ideas. It is a 100 pages blank ruled journal ready for you to fill with your own writing and get a little creative every now and then.120 pages of college ruled paper (60 sheets)It can be used as a journal, notebook or just a composition book