PATIENT DATA

COMPANY : PRIVATE
NAME : MR. ARIS OCTAPUR BUNGIN
DATE , DECEMBER 20, 2019
AGE : 42 YEAR

Instrument : Audiometer audiometri

Tone Audiogram
RIGHT - FF1 LEFT - FF1

250 500 1000 2000 4000 6000 8000 1 2 3 4 5 6 7

-10 -10

0 0

10 10

20 20

30 30

40 40

50 50

60 60

70 70

80 80

90 90

100 100

110 110

120 120

Telinga Telinga
Hantaran Udara Telinga Kanan Kanan Hantaran Udara Telinga Kiri Kiri
(dB) (dB)
250 500 1000 2000 4000 6000 8000 250 500 1000 2000 4000 6000 8000
15 20 15 20 15 20 20 20 20 15 20 20 15 20 20 17.5

Telinga Telinga
Hantaran Tulang Telinga Kanan Kanan Hantaran Tulang Telinga Kiri Kiri
(dB) (dB)
250 500 1000 2000 4000 6000 8000 250 500 1000 2000 4000 6000 8000
0 0

Right Ear : NORMAL

Left Ear : NORMAL

Conclusion : AUDIOGRAM NORMAL