I thought about circumcision tool but they tend to be (at least the Jewish ones) a little more resembling a razor and in other tradition they are just sharp knives . I am intrigued, in any case, by the function of the rounded tip with a point wouldn't be, strictly speaking , associated to that purpose. It seems to be more akin to indeed something like a betel nut knife, but they don't have betel nut there.
The tip has , I believe, the function to be inserted in some hard spot or to pull on something has as to remove back or something like that. Like a small billhook
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