In this example we see elements common to coin portraits of Hephthalite rulers: the head of the ruler viewed in silhouette facing a monogram, and the crown, decorated with a lunar crescent protruding from the front and two tassels hanging down the back. The back of the coin is blank, though traces of strike patterns are seen around the edges.

Many have noted on the elongated appearance of the rulers' heads in these coin portraits, a reoccurrence has led some scholars to conclude that the Hephthalites must have practiced cranial deformation. This custom, most famous among the Olmecs of pre-Columbian Mexico, involves altering the shape of the skull as a means of beautification, or to indicate social rank.

It is also worth considering the close similarity between the crown worn by Toramana in this coin and the tall headdress worn by a Sassanian official in a seal stone in the collection of the British Museum. This Hephthalite tendency to elongate the head of rulers in coin portraiture may stem from imperfect imitation of design precedents found in Sassanian coins and carved seals.