Watch List notes:

Russia USSR Badge (1953) 'For graduation from the Kuibyshev military medical academy (KUIBYSHEV VMA)'. (КУЙБЫШЕВСКАЯ ВМА). With Document. (Гонину Аркадию Васильевичу). Screw Mint. Silver enamel; Screw. Weight approx: 17.61 g. Diameter: 46x26mm.