The following description was prepared by William Gross:

An early version of what became the standard form of birth amulet in Jerusalem, the imagery presents both a protective angel and a hand, represented by the traditional form of the "wisdom of the hand" and the central element of the hamsa, providing protective values to the printed sheet. This version of the amulet contains the Shir LeMa'alot, a "Lachash" against the evil eye by the Chida and the story of Eliyahu meeting Lilit. This sheet was printed by a pair of Jewish printers in Cairo, but copied from the typical Jerusalem talisman on paper that was the model used by Shemuel Zuckerman. This is printed on white paper.