BRAWIJAYA HOSPITAL

Jl. Raya Ciputat Parung, Bojongsari

Depok Jawa Barat 16516
Telp. 021 - 29836640

Patient ID: 08-00-91-45

Date of Birth: 06/05/2021
Sex: M
Physician:

DPOAE Test Report

Tester:
Test Date: 07/05/2021 09:57:09 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 66 56 3,7 -2,5 6,2 P
3,0 65 54 1,6 -8,9 10,5 P
4,0 64 53 -3,3 -10,0 6,7 P
5,0 63 53 -12,1 -19,2 7,1 P

DPOAE Test Report

Tester:
Test Date: 07/05/2021 10:05:45 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 1,0 -10,5 11,5 P
3,0 65 56 -18,2 -14,5 -3,7
4,0 66 55 -9,1 -15,6 6,5 P
5,0 63 52 -3,9 -20,0 16,1 P

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