The image shows a paper with a variety of surgical instruments, including a scalpel, on it. The paper is filled with different types of tools, each with its own unique design and purpose. The scalpel is made of metal and has a curved handle with a sharp blade at the end. The other tools are arranged in a neat and orderly fashion, with some of them overlapping each other. The text on the paper is written in a bold font and is likely a description of the tools.