What You Will Get: this set includes 48 glitter syringe ballpoint pens in 6 colors, 48 thank you cards, and 48 white ties; Each item is thoughtfully designed to express gratitude and admiration for nurses, making it a perfect gift for various occasions Elegant and Meaningful Design: the syringe ballpoint pens feature a syringe-shaped design with a soft blue gradient finish and the words "THANK YOU NURSES" printed on them Ideally Sized Nursing Gifts: the glitter pens for nurses are measured 5.51 x 0.39 inches, which makes them easily portable, with clip for easy attachment, the inspirational greeting cards are ideally sized at about 5.91 x 3.94 inches, and you can use the small clear bags to pack nurse pens and cards Quality Material: these medical pens funny are designed with metal shell, sturdy and easy to grip, with black ink for smooth writing, the thank you cards are made from 300g coated paper that brings a touch of warmth to the receiver while ensuring durability Wide Application: this array of glitter nurse pens with thank you cards is ideally suitable for expressing your gratitude to nurses in a myriad of settings, including hospitals, clinics, nursing homes, medical schools, or even a thank you event, proper for Nurse Practitioner Week, nurse week, CNA week, Pediatric Nurses Week, Emergency Nurses Week, Christmas, birthdays, and more, this set is a heartfelt way to honor and celebrate the dedication of nurses