| TOTAL NUMBER OF OPERATION | |||||||||||||||
| FROM DECEMBER 1998 ON WORDS | |||||||||||||||
| Cleft Lip and Palate Program | |||||||||||||||
| RSUP Sanglah, Denpasar | |||||||||||||||
| Rotary Club Bali Nusa Dua | |||||||||||||||
| No. | Name | Age | Months | Sex | Date of | Diagnosis | Operation | Schedule for Future Operation | Address | ||||||
| Years | Operation | Cost (Rp) | labioplasty | Palatoplasty | Repair Schicis | Bone Graf | Maxilllect | Jalan | Area | Kabupaten | |||||
| 1 | Yasa, Wayan | 7 | Months | Male | 16-Des-98 | Labiognatopalatoschizis Sinistra Unilateral (Left cleft Lip & palate) | 1,057,700 | 26/07/02 | Mambal | Abiansemal | Badung | ||||
| 2 | Raka Suardana, Gst Agung | 9 | Months | Male | 05-Des-98 | Labiognatopalatoschizis Bilateral (Double Cleft Lip & Palate) | 1,157,700 | 05/12/98 | Jl. Kamboja No. 8 | Kuta | Badung | ||||
| 3 | Pranata, Adi | 6,5 | Months | Male | 27-Jan-99 | Double Cleft Lip & Palate (Labiognatopatoschizis Bilateral) | 1,315,700 | Br. Gede Anggungan | Mengwi | Badung | |||||
| 4 | Sudiana, Kadek | 7 | Months | Male | 08-Feb-99 | Soft Cleft Palate incomplate Pro Operasi Palaplasty | 1,375,700 | 08/02/99 | 08/07/99 | 08/07/03 | 08/07/06 | 08/07/16 | Br. Wijayakusuma | Ungasan | Kuta Badung |
| 5 | Widi Darma Susila, Dewa Made | 10 | Years | Male | 09-Feb-99 | Double Cleft Lip & Palate (Labiognatopatoschizis Bilateral) Post Operation | 1,311,000 | Palatoplasty | Jayagiri XII/5 | Denpasar | |||||
| 6 | Widiana Yasa, Wayan | 7 | Months | Male | 25-Feb-99 | Labiognatopalatoschizis Dekstra (Right side Cleft Lip & Palate) | 1,355,700 | 25/02/99 | Sepuluh Bunga | Nusa Penida | Kelungkung | ||||
| 7 | Kris Diatmika | 5 | Months | Male | 01-Mar-99 | Labiognatopalatoschizis Sinistra (Left Cleft Lip & Palate) Pro laloplasty | 1,365,500 | 01/03/99 | Selisihan | Kelungkung | |||||
| 8 | Suarjana, Putu | 14 | Months | Male | 04-Mar-99 | Double Cleft Lip & Palate (Labiognatopatoschizis Bilateral | 1,345,700 | 03/04/99 | Bitra | Gianyar | |||||
| 9 | Suarimbawa | 17 | Months | Male | 26-Apr-99 | Celah bibir satu sisi kanan (Labioschizis Dextra) | 1,445,250 | 26/04/99 | Selat | Karangasem | |||||
| 10 | Aryana | 12 | Months | Male | 02-Jun-99 | Labiognatopaltoschizis Sinistra (Cleft Lip & Palate Left Side) | 1,485,700 | Mambang Selemadeng | Tabanan | ||||||
| 11 | Aryana | 12 | Months | Male | 02-Jun-99 | Labiognatopalatoschizis sinistra (Cleft Lip & Palate left side) | 1,485,700 | 02/05/99 | 02/05/00 | 02/05/03 | 02/05/06 | Mambang Selemadeng | Tabanan | ||
| 12 | Lestari, Kadek Dwi | 4 | Months | Female | 10-Jul-99 | Cleft Lip Unilateral (Pro Labioplasty) | 1,313,300 | 10/07/99 | 12/12/02 | 07/09/03 | 07/09/06 | 12/12/16 | Kartini 148 | Denpasar | |
| 13 | Sutasih, Bayi Kadek | 4 | Months | Female | 10-Jul-99 | Cleft Lip Palate Unilateral (Pro Labioplasty) | 1,298,400 | 07/10/99 | Pupuan | Rabanan | |||||
| 14 | Agus Pastika, I Putu | 11 | Months | Male | 13-Jul-99 | Right Cleft Lip & Palate (Labiognatopalatoschizis unilateral Dextra) | 1,253,300 | 21/07/00 | 21/12/00 | 21/12/03 | 21/12/07 | Sangga Langit | Singaraja | ||
| 15 | Januartha, Putu | 2,2 | Years | Male | 19-Jul-99 | Cleft Lip & Palate Post Labioplasty Pro Operasi Palatoplasty | 1,104,500 | 19/07/99 | Banjar Uma Anyar | Mengwi | Badung | ||||
| 16 | Edi Riawan, I Ketut | 5 | Months | Male | 19-Jul-99 | Double Cleft Lip & Palate (Labiognatopalatoschizis Bilateral) | 1,198,700 | 21/07/99 | 21/07/00 | 21/07/03 | 21/07/06 | Banjar Seren Nongan | Karangasem | ||
| 17 | Sri Adesiviani, Luh Putu | 6 | Months | Female | 24-Jul-99 | Right Cleft Lip & Palate (Labiognatopalatoschizis Unilateral Dextra) | 1,263,500 | labioplasty | Belumbang | Tabanan | |||||
| 18 | Sumertayasa | 12 | Months | Male | 24-Jul-99 | Right Cleft Lip Unilateral (Labiognatopalatoschizis Dextra) | 1,247,500 | 04/08/99 | Jl. Pahlawan RT 6 | Sinagaraja | |||||
| 19 | Alkuthi, Amin | 5 | Months | Male | 24-Jul-99 | Right Cleft Lip Unilateral (Labiognatopalatoschizis Dextra) | 1,247,500 | 24/07/99 | 04/08/00 | 04/08/03 | 04/08/07 | 04/08/16 | Banjar Cincang | Karangasem | |
| 20 | Prabowo, Andre Eko | 2,5 | Years | Male | 26-Jul-99 | Cleft Lip & Palate Post Labioplasty Pro operasi Palatoplasty | 1,128,500 | 26/07/99 | 04/08/02 | 04/08/02 | 04/08/06 | Jl. Gunung Bromo No. 5 | Denpasar | ||
| Total | 25,756,550 | ||||||||||||||