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-
~.
~~
;. KARTHIK HEARING AID CENTRE
     V.K.S.PANDIAN NAGAR,
     OPP. THEIVANAI AMMAL WOMEN'S COLLEGE,
     TRICHYMAIN ROAD, VALUTHAREODY,                                    AUDIOGRAM
     VRLUPURAM-605 401. PHONE: 04146 -70797
     CELL: 9842340515
                 ~

     NAME...k.:.:£.~ks..s                        J?l.Q..J:~:J.f...~..1~~h.~._,.                                                          SEXlAGE    f:     L...4:..:
                                                                                                                                                                ~
                                                                                                                                                                                  ;..   .




     AD~S..v:.gg~..:J:f!.A              ~              s.~.J                       ::f:..~...~.Li.r                                      DATE   Q.4.:..lJ . ?-OO~ .
                                                                                                                                                        ............................

                     1964     ISO   VALUES      125                     500        750   1k 1.5k 2k       3k   4k   6k   8k         10k 12k     Hz.
     TEST        Right Left           -20        I                                                    I                                          -20
                                                                                                                                                         TEST           Right Left
                  Ear   Ear                                                                                                                                              Ear Ear
                                     .10                                                                                                         .10

     AIR
                 (Red) (Blue)
                                       o
                                       J
                                        I
                                                                                    .          .           .                                       o     RINNE
                     0-0      x-x
                                      10
                                       I                                            .                      .                                       10
       P EAR         A-A      0-0                                                                          .                                             WEBER
     MASKED
     NO
                          .
                                       I
                                      20
                                                                                                           .
                                                                                                                    .
                                                                                                                    .
                                                                                                                                                   20
                                                                                                                                                         BING
     RESPONSE                   f     30I
                                                                                                                    .                              30
                                                                                                                    .
     BONE            <         >      40I                                                                                                          40
                                                                                                           .        .                                         SPECIAL TEST
     MASKED
                      I         1     50I
                                                                                                           .
                                                                                                                                                   50


     HEARING EVALUATION
                                      60I
                                                                                               .                                                   60

                                      70I                 ""                                                                 ....                  70
                                                                                                                                                         RECRUIT-
     AVE                                                       "'"'--- .........           -       .,                                                    MelT
     P.T.                             80I                                                                                I
                                                                                                                                                   80
                                                                                                           .
     SRT
                                                                                    .
                                      90I                                                                                                          90    SlSI

     PB%                               I
                                     100                                            .                                                           100      T.T.S.
     CORRECT                                                                                   :,;0
                                     110                                                                                                         110
     MCL             NO                                                                                    .                         I          120
                                     .120
                                            Hearing Threshold level in db

     Remarks :

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Sneha

  • 1. - ~. ~~ ;. KARTHIK HEARING AID CENTRE V.K.S.PANDIAN NAGAR, OPP. THEIVANAI AMMAL WOMEN'S COLLEGE, TRICHYMAIN ROAD, VALUTHAREODY, AUDIOGRAM VRLUPURAM-605 401. PHONE: 04146 -70797 CELL: 9842340515 ~ NAME...k.:.:£.~ks..s J?l.Q..J:~:J.f...~..1~~h.~._,. SEXlAGE f: L...4:..: ~ ;.. . AD~S..v:.gg~..:J:f!.A ~ s.~.J ::f:..~...~.Li.r DATE Q.4.:..lJ . ?-OO~ . ............................ 1964 ISO VALUES 125 500 750 1k 1.5k 2k 3k 4k 6k 8k 10k 12k Hz. TEST Right Left -20 I I -20 TEST Right Left Ear Ear Ear Ear .10 .10 AIR (Red) (Blue) o J I . . . o RINNE 0-0 x-x 10 I . . 10 P EAR A-A 0-0 . WEBER MASKED NO . I 20 . . . 20 BING RESPONSE f 30I . 30 . BONE < > 40I 40 . . SPECIAL TEST MASKED I 1 50I . 50 HEARING EVALUATION 60I . 60 70I "" .... 70 RECRUIT- AVE "'"'--- ......... - ., MelT P.T. 80I I 80 . SRT . 90I 90 SlSI PB% I 100 . 100 T.T.S. CORRECT :,;0 110 110 MCL NO . I 120 .120 Hearing Threshold level in db Remarks :