BRAWIJAYA HOSPITAL

Jl. Raya Ciputat Parung, Bojongsari

Depok Jawa Barat 16516
Telp. 021 - 29836640

Patient ID:
Date of Birth: 21/04/2021
Sex:
Physician:

DPOAE Test Report

Tester:
Test Date: 21/04/2021 14:50:46 Protocol: DP 4s Avg Time: 4 Pass Criteria:
Instrument: V114,01 IA3003863 IA2004656 Frequencies for Pass: 3
SNR: 6 dB
Pass SNR DP NF

30 30

20 10

10 -10

0 -30
2 3 4 5 2 3 4 5
Frequency (kHz) Frequency (kHz)
F2 L1 L2 DP NF SNR
2,0 65 55 10,4 -16,7 27,1 P
3,0 65 55 2,5 -20,0 22,5 P
4,0 65 55 -5,2 -20,0 14,8 P
5,0 65 55 -10,8 -20,0 9,2 P

DPOAE Test Report

Tester:
Test Date: 22/04/2021 09:06:55 Protocol: DP 4s Avg Time: 4 Pass Criteria:
Instrument: V114,01 IA3003863 IA2004656 Frequencies for Pass: 3
SNR: 6 dB
Pass SNR DP NF

30 30

20 10

10 -10

0 -30
2 3 4 5 2 3 4 5
Frequency (kHz) Frequency (kHz)
F2 L1 L2 DP NF SNR
2,0 65 56 9,2 -6,4 15,6 P
3,0 66 56 -2,6 -13,8 11,2 P
4,0 66 56 -7,1 -15,6 8,5 P
5,0 66 55 -5,1 -15,3 10,3 P

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