AUDIOMETRY REPORT SIBELMED W50

Name: , darwoto Test Date: 13/12/2023

Age(a): 52 Reference: 16.16.69
Sex: Man Technician:
Height (cm): 167 Reason:
Weight(Kg): 82
BMI: 29.4 Origin:

R.E. L.E.
125 250 500 1K 2K 4K 8K 125 250 500 1K 2K 4K 8K
-10 -10
(Hz) (Hz)
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
(dB) (dB)

No Masking R.E. L.E. With Masking R.E. L.E.

MINISTRY OF LABOUR AND SOCIAL AFFAIRS
Air Air
R.E. L.E.
Bone Bone
Hearing Loss (%) 7.5 7.5
F.Field
Average dBs 30.0 30.0
Bilateral Loss (%) 7.5

Right ear Normal

Left ear Normal

COMMENTS:

SISI TEST LÜSCHER TEST

Hz 500 1000 2000 4000 Hz 500 1000 2000 4000 8000

R.E. % --- --- --- --- R.E. dB --- --- --- --- ---

L.E. % --- --- --- --- L.E. dB --- --- --- --- ---

Printing Date: 13/12/2023 Page 1 of 1