Thank you for viewing. This is Mer-chan's Ribbon Clinic and Nurse outfit. I think there was also a medical record book, but... I can't find it. However, I will include a syringe that I believe was included with other toys, as well as Mer-chan's nurse hat and clothes. Please understand that there may be scratches, etc., from children's use. I have confirmed that it works with batteries. There are no pets or smokers in this household. I am also listing (or planning to list) other Mer-chan related items. Thank you very much.