Physician's Orders, Side-opening 2" 3-ring Titan Poly molded Compliance Manual. Binder cover manufactured with First Antimicrobial Technology. Overall dimension: 11-3/8" x 11-5/8", with 2-1/2" spine and inside ring diameter of 1-3/4". Holds up to 300, 8-1/2" x 11" pages. Premium grade ringwire for outstanding durability. Scratch resistant textured surface with debossed area that is imprinted on front cover and spine.