Formular Audiograma
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Audiometru SIEMENS SD 28 C.N.P|_|_|_|_|_|_|_|_|_|_|_|_|_| Certificat de calibrare: Data______________ Nr………………………... Nr.decizie _____________ AUDIOGRAMA Numele_________________Prenumele_______________________Data nașterii__________________ Vârsta_____________ Diagnostic________________________________________________ DREAPTA STÂNGA
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Transcript of Formular Audiograma
Audiometru SIEMENS SD 28 C.N.P|_|_|_|_|_|_|_|_|_|_|_|_|_|Certificat de calibrare: Data______________Nr………………………... Nr.decizie _____________
AUDIOGRAMA
Numele_________________Prenumele_______________________Data nașterii__________________ Vârsta_____________ Diagnostic________________________________________________
DREAPTA STÂNGA
