Unknown Medal Question

[imi]

Hi
Someone know what exactly is this medal?
It looks like to me some old belgian order but I'm no sure of
Thanks for any help about the idetification

[dcollect]

the back of the medal is a belgium red cross medal for faithfull service but the front is not original to this medal , very strange thing .

[imi]

the back of the medal is a belgium red cross medal for faithfull service but the front is not original to this medal , very strange thing .

thanks for the answer
I think the first time this badge is too old and the identification is too hard because of the age of the badge.
But now after many searches about the badge, I think the same this badge is a fake
I search but I not seen exactly, only similar like this