Thank you for viewing. This is a Kodomo Challenge Edutoy doctor's set. The tip of the stethoscope can be pressed, and the pictures change to show things like a sore throat or a stomach ache. The thermometer also changes display between fever and normal temperature for fun. The paper items have some folds. There are no other noticeable stains, but there are some minor scratches and dirt. Please understand that this is a used item before purchasing. I plan to list more Kodomo Challenge Edutoys. If you would like to purchase multiple items, I will offer a small discount, so please leave a comment. Thank you very much. Thank you for viewing. Benesse Shimajiro Home study Shichida Method Early Childhood Education # Educational Toys