The Medicham V 186/203 card from the Evolving Skies set is an Ultra Rare Alternate Full Art Holo in English. This Pokémon card features the character Medicham with 210 HP and is manufactured on standard card stock. Illustrated by Satoshi Shirai, this Basic Pokémon card is part of the Pokémon TCG game and is a highly sought-after collectable for fans and collectors alike.