This is a very high-quality, three-place boutonniere with miniature decorations. From left to right, we see:
*1914 Iron Cross for Non Combatants with the appropriate Non Combatant’s Ribbon – Prussia.
*General Service Medal – Prussia.
*Crown Order 4th Class – Prussia.
This is a very well made boutonniere with miniature decorations. It is an officer’s level piece, as the Crown Order was not awarded to enlisted men or NCO’s. It is very likely that this was awarded to a doctor.