The items in the first photo are all that is included. ・ I checked briefly, and there were no pencil markings. However, there may be oversights or forgotten markings. Please be aware of this. ・ There are highlighter marks in several places. ・ There are corner folds on several pages. If you are looking for a new item, please refrain from purchasing. Please understand that this is a used item before purchasing. "Clinical Laboratory Science Series: Introduction to Biomedical Engineering" Hideaki Shimazu / Akio Nakajima Price: ¥2700 #HideakiShimazu #Hideaki_Shimazu #AkioNakajima #Akio_Nakajima #book #nature/medical_science_and_health