The left hand of the crew member is missing. If you'd like, I can provide a person. People (injured person with crutches, rescue equipment, etc.) and parts are also sold separately, so please purchase them if necessary. There are several types of sirens. I played with it for about six months and then stored it in the box. The box and instructions are included, but I will wrap the car in bubble wrap before putting it in the box for shipping. If you would like it shipped in a further cardboard box, an additional 600 yen will be charged for shipping and the box. Please let me know in the comments. From the website: Founded in 1926, Bruder is a long-established German toy brand. The Pro Series is characterized by its realistic appearance and the impressive 1/16 scale. It is designed to be a "trigger" for children to think about "why it moves?" and "how it moves?", and it stimulates children's imagination. The materials and paints used are non-toxic, and it is made in Germany with full consideration for safety. The Mercedes ambulance has blue lights & sounds for a realistic feel. And when you open the roof, the interior is very realistic!! It also has a stretcher that can be carried outside the car. Use the included ambulance crew figure to push the stretcher and rush to the person in need! It's a realistic set that expands the world of play. The ambulance room has double doors that open and close at the back. The side doors also open and close. Furthermore, the driver's seat door also opens and closes, so you can put a figure in the driver's seat. It's full of gimmicks that stimulate children's imaginations.