Rully Mardianto-1

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AUDIOMETRY REPORT SIBELMED W50

Name: mardianto, rully Test Date: 09/06/2023


Age(a): 37 Reference: 15.30.83
Sex: Man Technician:
Height (cm): 171 Reason:
Weight(Kg): 54
BMI: 18.5 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 (%) --- ---
F.Field
Average dBs --- ---
Bilateral Loss (%) ---

Right ear Missing values


Left ear Missing values

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: 09/06/2023 Page 1 of 1

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