People with pain and/or limited use of their hands will find using this holder much easier than trying to hold multiple cards in one hand. The slot is designed so that cards can be easily added or removed. Also holds Mah-Jongg tiles, recipes or memos. Pencils and small coins fit on the extended front of the holder. Measures 2 x 1 3/8" (5.1 x 3.5 cm).