This is a complete set of materials needed to obtain BLS provider certification. I opened and used these materials on the day of the course when I took it myself. They are not cut and there are no markings. These are essential materials and will allow you to take the exam without any problems. The included hand manual will also be enclosed. Please consider purchasing these items with the understanding that they are used. If you are concerned about any details, please refrain from purchasing. We cannot accept any claims or returns. You can purchase these items immediately.