Medical grade Hand Sanitizer is used to disinfect hands prior to procedures and examinations. It contains 65% Propyl Alcohol. This sanitizer is a water-soluble, cationic biguanide that binds to the negatively charged bacterial cell wall, altering the bacterial cell osmotic equilibrium. Please note: Due to high demands the bottle might slightly vary, however, the contents remain original Puro 65 Hand Sanitizer What's in the box Hospital Grade 65% Alcohol Hand Sanitizer- 500ml