Patient lnformation

IName: ANA GABRIELA GALLA Date of 27/03/1988 Exam 25/09/'2022

Birth: Date:

Office lnformation
Office Examiner Name:
Name: liceose:
Address: Calibration Date: 25/ 09{2022
Phooe:
Fax:

Auclogram
Key M

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Air Condudion

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R.ight left Binaural (P) • Parameter Key
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