This darling charm comes in a small black velvet pouch. Perfect for storing small jewelery items, or using as a gift pouch for someone else! The Nurse Pandora Charm is approximately 33mm x 11mm; Hole size: approx. 4.5mm (1" = 25.4mm) . Antique Silver; The charms were oxidized (blackened) to protect the surface. They are silver plated. These are not threaded - the charms will SLIDE onto a European style charm bracelet (Pandora, Chamilia, Biagi, Kay..etc.). These can also be placed on a cord or chain and worn as a necklace, or put on a key ring to attach it to just about anything: backpacks, purses, etc.