1. KARTHIK HEARING AID CENTRE
V.K.S. PANDIAN NAGAR,
OPP. THEIVANAI AMMAlWOMEN'S COllEGE,
TRICHYMAIN ROAD, VAlUTHAREDDY, AUDIOGRAM
VlllUPURAM- 605401. PHONE: 04146 -70797
CEll : 98421 40515
NAME..cs:,..:.~Q.~Q.xd~.b,~~.! £l.o..Jn:Y......~.~b.9..tb SEX!
AGE... bj..l.::L
. ...............
AD~..'i& Sf.b., ~ 3.~l ::b:L ~..r.tZ.......... DATE O'4.:;.l.l~..2.:ro..~...........
1964 ISO VALUES 125 500 750 fk f.51t 2k 3k 4k 6k 8k 1011 12k Hz.
-20 .20
TEST Right Left
Ear Ear . . . TEST Right Left
I Ear Ear
-10
I -10
AIR
(Red) (Blue)
0-0 x-x oI
I . . . o RINNE
. .
-
·Bp EAR 6-6 0-0
10
I . . 10 WEBER
MASKED
NO
20
I
,
.
. 20 BING
RESPONSE ! 30
I
.
. 30
.
BONE < > 40
I . 40
.
MASKED
'hR [ I 'I
50
.
50 SPECIAL TEST
'I
60 - 60
HEARING EVALUATION
70
I 70
AVE RECRUIT-
P.T. 80
. 80 MENT
SRT' 90I
.'9 ;> -..
+ : )(. 90 SISI
PB% . It
100
I
- . -.. 100'1 T.T.S.
CORRECT . 110
MCL NO
110 . .
120 120
Hearing Threshold Level in db
Remarks: ~1tc::J:i~ S-eveXeJ- ~1o~e{ ~cvn~ ..t(.~