Answer: 43

Explanation:

1 pair of shoes is equal to 10
1 boy is equal to 5
2 cones are equal to 4

Now coming to the question 
5 (one shoe) + 19 (10 for pair of shoes + 4 for the 2 cones + 5 for the boy) × 2 ( 1 cone)= 43
5+19×2=43