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Audiogram Online – Free Hearing Test Report Generator | EarMart

Audiogram Report
Earmart Hearing Clinic
Advanced Hearing Care
123 Main Street, City
📞 +91 00000 00000
✉ clinic@earmart.in
Name:
Age:
Date:
Gender:
Referred By:
Address:
Audiogram
Right Ear
Left Ear
Key to Symbols
Air Conduction
Unmasked Masked
Unmasked × Masked
Bone Conduction
Unmasked < Masked [
Unmasked > Masked ]
Red = Right Ear  |  Blue = Left Ear
Pure Tone Average
Freq Right Left
500 Hz
1000 Hz
2000 Hz
PTA
Hearing Classification (WHO)
Normal≤ 25 dB HL
Mild26 – 40 dB HL
Moderate41 – 55 dB HL
Moderately Severe56 – 70 dB HL
Severe71 – 90 dB HL
Profound91 – 120 dB HL
Type of Hearing Loss
Type Right Left
Conductive
Sensorineural
Mixed
Normal
Impedance / Tympanometry
Type Right Left
Type A
Type As
Type Ad
Type B
Type C
Relationship of Loss
Bilateral
Unilateral (Right)
Unilateral (Left)
Symmetrical
Asymmetrical
Progressive
Audiologist's Remarks / Recommendations:

Click on the audiogram charts to plot points. Right-click a point to delete it.

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This will erase all audiogram points, hearing loss data, tympanometry, and comments. Patient info will be kept.

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