This beautiful bracelet is handmade by artisans in Nepal.
It is silver plated with turquoise in the middle.  There is a small reconstituted coral stone set on both sides  with turquoise.
 
Meaning
Turquoise:Restores self-confidence, soothes tension, fights fatigue, improves sleep, helps communication
Coral: brings Protection, Comfort and Courage

It can be adjusted and adapts to any size wrist.