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MoHMA Monaural Stethoscope Only 4 1/4” long x 3/8”, with 7/8” bell, this is very likely a pediatric stethoscope. It has a small bell that is ivory rimmed and a wooden earpiece. Could also have been used as a fetal stethoscope, but more likely for routine medical use since the bell is small. https://www.mohma.org/instruments/category/stethoscope/monaural_stethoscope_5/