Thank you for viewing. This belonged to my daughter, who used to play with it often. When you put the stethoscope to it, Licca-chan will randomly say symptoms of illnesses. Even though you know it, you can't help but want to chime in (lol) Everything in the photos is included. For those who understand that this is a used item, thank you. This Licca-chan hospital set comes with medical instruments, allowing children to learn about medicine while playing. - Product Name: Licca-chan Hospital - Included: Medical instruments, bed, chair, examination table - Features: Medical set for learning through play - Age Range: 3 years and up Thank you for looking.