Catalog
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| Location | Norway |
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| Year | 1929-1931 |
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| Reference(s) | Øverland#79.1 |
| Obverse description | The numeral '5' appears prominently in the center field. The circular legend 'DIKEMARK' arcs across the top and 'SYKEHUS' across the bottom, separated by small star ornaments, identifying the issuing institution as Dikemark Hospital. |
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| Obverse script | Latin |
| Obverse lettering | DIKEMARK 5 SYKEHUS |
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