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AMC

KLINIK ARTHA MEDICAL CENTRE

ampliSuite Patient Record


Patient Examiner
Name : Kudus Name : . . . . . . . .
Date of Birth : 9/17/1995 Signed :

Left Ear Right Ear


125 250 500 750 1K 1K5 2K 3K 4K 6K 8K 125 250 500 750 1K 1K5 2K 3K 4K 6K 8K
20 15 15 10 10 15 10 10 AC 20 20 15 10 10 15 10 10

AM
BC
BM

125 250 500750 1K 1K5 2K 3K 4K 6K 8K 125 250 500750 1K 1K5 2K 3K 4K 6K 8K

-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

100 %
90
80
70
60
50
40
30
20
10
0

-10 0 10 20 30 40 50 60 70 80 90 100 110 120 dB

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