Slightly torn and tattered, as seen in the picture. But, the fact that it is well thumbed says something about its usefulness. Arguably, it is rather old -- but GP knowledge transcends time and some, if not most, of the information is probably still pertinent currently. The questions may be different, but the topics usually remain the same few. But that's for you to judge.
Published by Fairfield Book Publishers. Author: Augustine Chan (See 2nd picture for his credentials!)