Sensory activities include a squeaker in each hand, a bow tie that you can move up and down, a hidden mirror under pocket flap, and a little flower rattle that you can tuck into a pocket.  There are 2 squares of the scratchy side of hook and loop on the back, so this must have originally come with an additional piece that stuck onto it.  It also has a ribbon loop at the top for hanging.

Pre-owned and vintage, but no holes or stains.