Welcome to Numista and best wishes for 2019
It is a medal/token from this hospital: https://en.wikipedia.org/wiki/Phramongkutklao_Hospital
Propably given to all who helped to re-open the hospital: "During World War II, the hospital was closed to general patient admissions and was used solely as a military hospital. After the war, the need for an improved quality of care as well as increased education for military medicine was highlighted. On 1 January 1946, the division became the 'Army Hospital' and operations were transferred directly to the Army Medical Department. The hospital also reopened back for public use. On 8 August 1952, the hospital was renamed 'Phramongkutklao Hospital', in following the name of King Vajiravudh, who had built Phaya Thai Palace.[3]"