The following are the Dip Switch settings based off of MAME 0.180 source code.
 
Use this information at your own risk!  The information was parsed from the MAME source code and could contain errors as to the state, order or descriptions of what the switches do.  If you find an error, please let me know on the Contact Us form and I will work on correcting the issue. 
 
 
 
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Manufactured by Nichibutsu / AV Japan / Miki Syouji, Released in 1993
ROM Version: Medal Mahjong Pachi-Slot Tengoku [BET] (Japan)
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Dip Switch:DSWA
12345678FunctionOption
OnOnOn     Game Out55% (Hard)
OffOnOn     60%
OnOffOn     65%
OffOffOn     70%
OnOnOff     75%
OffOnOff     80%
OnOffOff     85%
OffOffOff     90% (Easy)*
   Off    Coinage1 Coin/1 Credit*
   On    1 Coin/2 Credits
    Off   Last ChanceOff
    On   On*
     Off  Last chance needs 1creditOff*
     On  On
      Off Character Display TestOff*
      On On
       OffGraphic ROM TestOff*
       OnOn
Dip Switch:DSWB
12345678FunctionOption
On       Flip ScreenOff*
Off       On
 Off      DIPSW 2-2Off*
 On      On
  Off     Bet1 OnlyOff*
  On     On
   OffOff   Bet Min1*
   OnOff   2
   OffOn   3
   OnOn   5
     OnOff Bet Max10
     OffOn 12
     OnOn 20*
     OffOff 8
       OnScore PoolOff
       OffOn*
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