This beautiful bracelet is handmade by artisans in Nepal.
It is made of silver metal with the turquoise stone.  Turquoise is one of the important stones of Tibetan culture.
The vajra is carved into both sides of the bracelet. It represents indestructibility and immutability that overcomes all obstacles.
 
Meaning
Turquoise:Restores self-confidence, soothes tension, fights fatigue, improves sleep, helps communication
Dorje or Vajra:ward off lies, ward off bad thoughts, wisdom

It can be adjusted and adapts to any size wrist.