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Do not base your order on the picture presented.
Features of the Veridian Healthcare Heritage Series Latex-Free Aneroid Sphygmomanometer:
Includes: blue gauge, standard air release valve and inflation bulb,
calibrated blue nylon cuff with 2-tube bladder* and zippered attaché case.
*Latex-free model includes a PVC bladder and bulb.
Medex SKU: VRD-02-1081