Pretend doctor case with blood pressure cuff, stethoscope, reflex hammer, and otoscope. Please refer to the included pictures for more details. IMPORTANT TO NOTE: This listing does NOT include the green syringe. If you have any comments or concerns, please contact the seller before leaving negative feedback. International shipping is not an option. Shipping charges are based, in part, on the buyer's location. Buyer pays actual shipping costs. Seller is responsible for all handling fees. Customer Service is a PRIORITY for this seller! Have any questions? Don't hesitate to ask. Anxious to do business .... Thanks for viewing and/or considering this listing. As of 6/23/19, the USPS will implement DIM pricing. Unfortunately this will adversely affect the cost of shipping. Please understand, if you purchase an item from this seller - the seller will NOT pay any part of the shipping costs. If the DIM is more expensive than the shipping costs the BUYER initially paid, the BUYER has the option of either paying the difference OR canceling their order.