Nurse love Stethoscope embroidery design,Heart embroidery machine, k1257 , instant download This is a digital download and no physical products will be sent. You may download immediately after payment is received SIZES : 4 x 4 5 x 5 6 x 6 Available in the following formats: PES DST EXP HUS JEF PEC VIP XXX TAP SEW VP3 ART This is not a patch you will need an embroidery machine to stitch the design These are machine embroidery designs. You need access to an embroidery machine to stitch these designs. and the appropriate hardware/software to view and transfer my designs to your embroidery machine. Due to the nature of item. All sales are final Thanks so much !