Magnificent, truly presentation quality precious item.
Antique silver gem-set snuff box / pill box. 
Decorated with real precious gemstones: chrysoprase, turquoise, sapphires, amethyst and other natural stones. 
Small white and blue enamel accents.
Probably eastern european, circa  19th century. 
Worn gilding at the exterior, bright gilded interior.
Marked on the bottom: "800", no other marks, probably was made on special order. Guaranteed solid silver (800/1000 silver standard, lower than sterling). 
   condition:
Very good original antique condition with some expected wear and light charming indication of age.
Very minor handling marks - mention just for 100% accuracy.
Very light expected scratches. 
Wear to gilding at the exterior.
Lid closes perfectly.
   dimensions:
About 3 1/4 in. X 2 1/8 in. X 1 3/8 in. (8.3 x 5.4 x 3.5 cm).
    weight: 
About 4.6 troy oz (144 grams) - good weight for the size, feels very heavy.
Finest possible quality collectors grade rare example.