Amplivox Audibase 5.3 Patient Record Patient No: 1.098.604.060 DENIS ADRIAN Surname: Forename: CHAPATEN SANTOS Posn/Rank: Dept/Unit: Company: Location: Date of Birth: 31/08/1985 Male Sex: Status: Leaving Reason: Address: Date Joined: Date Left: Length of Service: Upload 26/03/2021 08:14:46 24021 23/09/2016 26/03/2023 Test Type: Date of Test: Time of Test: Previous: Examiner: Serial no: Calibrated: Recall Date: Baseline: n/a F1: F2: - Categorisation: HSE2006: Data incomplete F3: - Left Ear 125 Prev. Cur. Notes: 250 500 10 10 750 1k 10 1.5k 2k 10 Right Ear 3k 4k 6k 8k 15 5 5 125 250 500 15 20 750 1k 20 1.5k 2k 10 3k 4k 6k 8k 10 10 5 -PTA: OI: 10 dB OD:16.6 dB -OTOSCOPIA: CONDUCTO AUDITIVO EXTERNO DESPEJADO Y MEMBRANA TIMPANICA INTEGRA BILATERAL AUDICION DENTRO DE LOS LIMITES DE NORMALIDAD A NIVEL BILATERAL Printed 26/03/2021 Patient No: 1.098.604.060 DENIS ADRIAN Surname: Forename: CHAPATEN SANTOS Posn/Rank: Dept/Unit: Company: Location: Date of Birth: 31/08/1985 Male Sex: Status: Leaving Reason: Address: Date Joined: Date Left: Length of Service: Test Type: Date of Test: Time of Test: Previous: Examiner: Serial no: Calibrated: Recall Date: Baseline: n/a Upload 26/03/2021 08:14:46 24021 23/09/2016 26/03/2023 F1: F2: - Categorisation: HSE2006: Data incomplete F3: - Questionnaire: Printed 26/03/2021