Ruling board (masṭara), made from layers of paper stuck together, incorporating what is probably a medical work in Arabic. There is Hebrew, probably originally a colophon, on verso.
Recto: abridged piyyuṭim, separated by horizontal lines, and with acrostics: 4 spelling Judah, 2 Isaac and 1 Abraham. Verso: a medical prescription in Arabic, with a Hebrew liturgical text in the margin.