The disc was included with the October 2004 issue of the Official Xbox Magazine, and contains a playable Silent Hill 4 The Room demo and a gallery.
There were two variants. The retailer variant shown on this page came in a thin DVD case. The subscription variant came in a cardsleeve. The discs are identical.
1. Front
2. Back
3. Disc
Thanks to Tse man (images 1-3).