This listing is for a 15 inch round hospital door hanger/nursery decoration with a safari pattern. This is a hand painted piece so each one may have slight differences. This listing is for the wooden piece and does not include any ribbon or bow. This is a personalized piece so please include the name/names you would like added to it. Most people include the first name as the large name and middle name as the smaller name. If you have any questions please message me. Thank you for visiting my sto