AMC

KLINIK ARTHA MEDICAL CENTRE

ampliSuite Patient Record

Patient Examiner
Name : Widya Aryani Prawira Name : . . . . . . . .
Date of Birth : 5/10/1989 Signed :

Left Ear Right Ear

125 250 500 750 1K 1K5 2K 3K 4K 6K 8K 125 250 500 750 1K 1K5 2K 3K 4K 6K 8K
20 20 15 15 10 15 15 10 AC 25 20 20 15 15 15 10 10

AM
BC
BM

125 250 500750 1K 1K5 2K 3K 4K 6K 8K 125 250 500750 1K 1K5 2K 3K 4K 6K 8K

-10 -10
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

100 %
90
80
70
60
50
40
30
20
10
0

-10 0 10 20 30 40 50 60 70 80 90 100 110 120 dB