This is an unusual January birthstone piece from Precious Moments, produced in 1996. It is a both a porcelain bell and box.
The bell contains a January garnet birthstone in the handle and shows a picture of a girl by a lamppost on one side and the message "January. Brings friends together?in from cold and chilly weather" on the other side.
The box has a message on the inside that says "GARNET - Color of Boldness; Steadfast and Determined" and simply says "January" on the outside.
This piece comes in the original Precious Moments box.