It comes in a plastic container. At first i had trouble opening it i ended up having to have my husband open it. Once open i took out the blood pressure cuff and batteries. It comes with 2 AAA batteries. I then inserted the batteries and went through and set up the time and date. If you are unsure how to do this there is a manual to walk you through it. I then stuck it on my wrist and turned it on. It then talks to you tells you if your arm is to high or to low. Once it's right where it needs to be it will say please hold still. After i was done it told me my readings. I suffer from mild hypertension but i was glad it spoke to me and told me. Some people always have to look at the numbers on screen and go to a cheat sheet on the internet. So i think that is what makes this my number one favorite blood cuff. I would suggest this cuff to anyone i know who is looking to get a cuff.
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