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Available in black or gray to match all Littmann stethoscopes (Littmann stethoscopes with colored tubing have gray rims, bell sleeves and eartips, therefore would use the gray I.D. tags). 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. Customers may choose to engrave the name plate themselves.