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4431 Ambulance is a 199 piece City set that was released in late 2011. It includes an ambulance, a stretcher, a pavement with a trash can, a traffic light, and a fire hydrant. It includes 2 paramedics, a biker, and a green bike.
- The paramedics have new torso printing.
- The Biker is exclusive to this set.
- This is the first City set to be based on emergency medical care since 2007.
- The stretcher has been slightly redesigned.
- The male paramedic's hair is a different colour on the box art.
- The bike rider/patient has both a hairpiece and a helmet.
- This might be linked to Hospital (disambiguation) see hospital rescue.
- This ambulance cannot fit inside the 4429 Hospital garage.