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ERFAN

The document is a tone audiometry report for a patient named Erfan, conducted on September 30, 2024. It includes hearing levels for both ears across various frequencies, indicating mild to moderate hearing loss. The report is signed by an administrator and includes device information, but lacks specific calibration details.

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erfan.saputra.3
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38 views1 page

ERFAN

The document is a tone audiometry report for a patient named Erfan, conducted on September 30, 2024. It includes hearing levels for both ears across various frequencies, indicating mild to moderate hearing loss. The report is signed by an administrator and includes device information, but lacks specific calibration details.

Uploaded by

erfan.saputra.3
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Patient: ERFAN, ERFAN Session date: 9/30/2024 2:27 PM

Date of birth: 9/30/2024


ID: 1234

Tone Audiometry
Grades of hearing loss based on WHO recommendation
Right Ear Left Ear

Frequency [Hz] Frequency [Hz]


125 250 500 1k 2k 4k 8k 125 250 500 1k 2k 4k 8k

-10 -10

0 0

10 10

20 20

30 Mild 30 Mild
Hearing Level [dB]

Hearing Level [dB]


40 40
Moderate Moderate
50 50

60 Moderately severe 60 Moderately severe

70 70
Severe Severe
80 80
Profound Profound
90 90

100 100
Complete Complete
110 110

120 120

AC NR AC NR

Device: MA 25e Serial number: Calibration date:

Notes:

Examiner: Administrator Signature:

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