Nurse gift, Nurse graduation, Nurse Keychain, Medical student, Medicine, Doctor keyring, Registered nurse, Caregiver, Care assistant Add a birthstone for an extra 2 https://www.etsy.com/uk/listing/262450220/add-a-birth-stone-charm?ref=shop_home_active_1 For Friend Necklace: https://www.etsy.com/uk/listing/262057637/best-friends-necklace-set-of-2-best?ref=shop_home_active_3 For Extra initials or customization please message me directly I am happy to help. Photo might be Slightly Different From Actual Item in Terms of Color Due to camera flash & screen resolution I hope you will like them as much as I do! I’m always glad to see you in my shop. YouLoveYouShop. Nurse Gift, Graduation, Keychain, Medical Student, Medicine, Doctor Keyring, Registered Nurse, Caregiver, Care Assistant