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KARTHIK HEARING AID CENTRE
V.K.S. PANDIAN NAGAR,
OPP. THEIVANAI AMMAL WOMEN'S COLLEGE,
TRICHY MAIN ROAD, VALUTHAREDDY,
VILLUPURAM- 605401.   PHONE: 04146 -70797
                                                                 AUDIOGRAM
CELL: 98421 40515
                ;.

NAME..J?:...r~~.~:.t~.~                J>..LQ..f.O.:(..:.:P.c::!.!?~.~.~Y.:;).~...........                            SEX! GE
                                                                                                                         A           F ...L                  ;..

ADDR"tSS..'Y.:~ ~.e~               H:t~            $.~.1..........................................                    DATE      6.4.:..I.1.:.~k.c;?,QQ..~...

                1964 ISO        VAlUES       125        --        500   750   1k 1.5k 2k     3k   4k   6k    8k   10k 12k    Hz.
                                 -20                                                                                          -20
    TEST       Right Left
                Ear   Ear
                                                                                  .           .                                        TEST         Right Left
                                                                                                                                                     Ear Ear
               (Red) (Blue)      -10                                                                                          -10
                                                                         .        .
    AIR        0-0        x-x     o                                                           .
                                                                                              .
                                                                                                                                 o      RlNt-E

                                  10                                     .                    -                                 10
I     P EAR    6.-6. 0-0                                                                      .                                        WEBER
    MASKED
                                  20                                                                   .                        20
    NO
                      .

                            !                                                                 .        .
                                                                                                       -
                                                                                                                                        BING
    RESPONSE                      30
                                   I                                                                                            30
    BONE       <           >      40
                                   I                                                                                            40
    BONE                          50                                                                   -
    OPP EAR
    MASKED
                 r          ]      I
                                                                                   .          .
                                                                                                                                50            SPECIAL TEST

                                  60                                              .
    HEARING EVALUATION

    AVE
                                   I


                                  70
                                   I
                                                                         :
                                                                              "
                                                                                                   -
                                                                                                  , --.
                                                                                                        :
                                                                                                            '>"
                                                                                                                                60

                                                                                                                                70
                                                                                                                                        RECRUIT-
    P.T.                          80
                                   I                                                          .
                                                                                              .                                 80      MENT
                                                                         .
                                                                                              .
    SRT                            I
                                  90                                                                                            90      SISI

    PB%                            I
                                 100                                     .                                                   100        T.T.S.
    CORRECT                                                                        .
                                 110                                                                                          110
    MCL         NO                                                                            .
                                 120                                                                                         120
                                        Hearing Threshold Level in db


Remarks :     ~ 1~~                   .Y'I&~~                 S.QJ~            ~          'YI~           ~cr~      .

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Kavya

  • 1. KARTHIK HEARING AID CENTRE V.K.S. PANDIAN NAGAR, OPP. THEIVANAI AMMAL WOMEN'S COLLEGE, TRICHY MAIN ROAD, VALUTHAREDDY, VILLUPURAM- 605401. PHONE: 04146 -70797 AUDIOGRAM CELL: 98421 40515 ;. NAME..J?:...r~~.~:.t~.~ J>..LQ..f.O.:(..:.:P.c::!.!?~.~.~Y.:;).~........... SEX! GE A F ...L ;.. ADDR"tSS..'Y.:~ ~.e~ H:t~ $.~.1.......................................... DATE 6.4.:..I.1.:.~k.c;?,QQ..~... 1964 ISO VAlUES 125 -- 500 750 1k 1.5k 2k 3k 4k 6k 8k 10k 12k Hz. -20 -20 TEST Right Left Ear Ear . . TEST Right Left Ear Ear (Red) (Blue) -10 -10 . . AIR 0-0 x-x o . . o RlNt-E 10 . - 10 I P EAR 6.-6. 0-0 . WEBER MASKED 20 . 20 NO . ! . . - BING RESPONSE 30 I 30 BONE < > 40 I 40 BONE 50 - OPP EAR MASKED r ] I . . 50 SPECIAL TEST 60 . HEARING EVALUATION AVE I 70 I : " - , --. : '>" 60 70 RECRUIT- P.T. 80 I . . 80 MENT . . SRT I 90 90 SISI PB% I 100 . 100 T.T.S. CORRECT . 110 110 MCL NO . 120 120 Hearing Threshold Level in db Remarks : ~ 1~~ .Y'I&~~ S.QJ~ ~ 'YI~ ~cr~ .