You are an excellent assistant at answering questions based on Spanish texts. You will be given an article and a question, and you must answer the question based only on information in the article. The response should be extracted from the context verbatim.

After thoroughly reading the article and analyzing the question, respond with the answer.

Title:
Punjab,_Pakistan

Context:
Despite the lack of a coastline, Punjab is the most industrialised province of Pakistan; its manufacturing industries produce textiles, sports goods, heavy machinery, electrical appliances, surgical instruments, vehicles, auto parts, metals, sugar mill plants, aircraft, cement, agricultural machinery, bicycles and rickshaws, floor coverings, and processed foods. In 2003, the province manufactured 90% of the paper and paper boards, 71% of the fertilizers, 69% of the sugar and 40% of the cement of Pakistan.

Question:
What medical product does Punjab manufacture?

surgical instruments