The QMB324MW is a 200A Fused Disconnect for an old Square D QMB fused distribution panelboard. The smallest one they made that was a single switch was 200A, the 30, 60 and 100A switches were half the width, so they were sold as “twins”. It was not uncommon for someone to utilize an existing 200A switch with fuse reducers for smaller loads rather than have to buy two smaller switches, one of which they didn’t need. So yes, assuming your conductors are appropriate and you have made sure the panel is not overloaded, you should be able to put 200A fuses in there.
If that’s what this is...