Japan, Empire. A Japanese Red Cross Order of Merit, I Class Gold Grade for Ladies

(日本赤十字 / Nihonsekijūji). Multi-piece construction, in silver gilt with red, white and blue enamels, measuring 45.8 mm (w) x 51 mm (h) inclusive of its laterally-pierced ball suspension, intact enamels, original bow-tied ribbon with safety pin attachment, extremely fine.