San Marino, Republic. An Order of St. Agatha, III Class Commander GTRexclude two upwards facing crossed swords

two upwards facing crossed swords sit in the quadrants between the arms

In Campbell's Medical History of an Invalid Report

constructed of multiple pieces of brass securely held together at the seams by solder

2 clasps - SGT-AT-ARMS

backed by a cross with ball finials on the points of the arms

San Marino, Republic. An Order of St. Agatha, III Class Commander GTRexclude two upwards facing crossed swords(Ordine Equestre di Saint' Agata). Instituted in 1923. Multi piece construction, in bronze gilt with white, red, green and light blue enamels, handpainted centrepiece on the obverse, measuring 51 m (w) x 60 mm (h) inclusive of its integral ring, intact enamels, on its original full length neck ribbon, the wreath with light chipping evident in the green enamels along with retouching in the red berries on the reverse, better than very fine. Footnote: