Staff, serpent & wings charm & RN for registered nurse. This symbol is associated with both commerce & medical health organisations. .925 Sterling silver. Hallmarked. 23mm height, not including rings. 3 Dimensional. Standard 5mm sterling silver open jump ring included. IMPORTANT Photos are not to scale, they are magnified to show the charm in more detail. This listing is for one single charm. I do not sell charms for bead style charm bracelets, I only sell traditional style charms. Additional photos are to show the charm from different angles. All charms, unless clearly stated, are solid sterling silver - I do not sell silver plated or inferior metal charms. Orders will be presented in a pretty pouch or box & sent in protective packaging to avoid damage in transit. If you have any questions at all, please don’t hesitate to ask. Thank you for visiting my Etsy store! sterling Silver Charm Caduceus Registered Nurse .925 Medical Symbol Pendant