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Do not base your order on the picture presented.
Features of Veridian Healthcare Sterling Series Adjustable Aneroid Sphygmomanometer, Thigh:
Includes: adjustable black gauge, deluxe air release valve, inflation bulb
with deluxe end valve, mini screwdriver, calibrated black nylon cuff with
2-tube deluxe bladder and zippered attaché case.
Latex-free model includes a neoprene bladder and bulb.
Medex SKU: VRD-02-1035