This listing is for ONE pack of 36. Useful: Since an important part of the job for Doctor is to record patient notes and write up orders, so a pen is useful gifts even more memorable. Gifts: cute doctor shape pen printed "Thank You" to honor your dedicated doctors, Appreciation for the patience service and support they provide every day. Our doctor pens uses Medium point (1.0mm) and low-viscosity black ink for a smoother writing experience and faster writing speed. Every doctor pens had wax red ball sealed on tip to make sure stop ink dry out, Shelf life up to 3 years. Package: 36 funny doctor pens per box, Perfect gifts for Hospital, Medical clinics staff or Doctor day.