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Do not base your order on the picture presented.
Features of the Veridian Healthcare Sterling Series Sprague Rappaport-Type Stethoscope:
Includes: 5-in-1 interchangeable chestpiece stethoscope with soft vinyl
eartips, three bell sizes, two spare diaphragm sizes, two spare eartip sets
in two styles, chestpiece key and accessory pouch.
Medex SKU: VRD-05-11007