This black ink ballpoint pen is shaped like a skull made of human bones. It is a fun and creative gift idea for orthopedic doctors, nurses, phlebotomists, veterinarians, and other healthcare professionals. It is also a perfect gift for practical jokers. The pen measures 15cm/5.9″ in length and has a 0.7mm tip. The package includes five doctor ballpoint pens. Please note that we do not manufacture or provide any warranty or return services for the products we recommend.