| 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 |
| 21 |
Dagdeg, Made |
12 |
Months |
Male |
02-Agust-99 |
Cleft Lip & Palate post Labioplasty Pro operasi
Palatoplasty |
1,119,500 |
02/08/99 |
02/08/99 |
|
Kintamani |
|
Bangli |
| 22 |
Sudiani, Made |
6 |
Years |
Female |
06-Agust-99 |
Left Cleft Lip & Gnato (Labiognatoschizis Unilateral
Sinistra) |
1,245,500 |
11/08/99 |
|
Belumbang |
|
Tabanan |
| 23 |
Darmadi, Komang |
3 |
Months |
Male |
10-Agust-99 |
Double Cleft Lip & Palate (Labiognatoschizis Bilateral) |
1,235,500 |
19/08/99 |
19/01/99 |
19/08/02 |
19/08/04 |
19/08/14 |
Banjar Kembengan |
Tulikup |
Gianyar |
| 24 |
Emi Luh |
4 |
Months |
Female |
10-Agust-99 |
Left Cleft Lip and Palate (Pro Cleft Lip Repair) |
1,303,500 |
25/10/99 |
|
Br. Lebah Matung Sari Mekar |
Buleleng |
Singaraja |
| 25 |
Sogi, I Nyoman |
4 |
Months |
Male |
11-Agust-99 |
Double Cleft Lip & Palate (Labiognatoschizis Bilateral) |
1,195,300 |
23/08/99 |
04/08/00 |
04/08/03 |
04/08/07 |
|
Banjar Gelgel |
|
Gianyar |
| 26 |
Sasmito, Adi |
3 |
Months |
Male |
23-Agust-99 |
Double Cleft Lip & Palate (Labiognatoschizis Bilateral) |
1,221,100 |
23/08/99 |
23/08/00 |
23/08/03 |
23/08/07 |
23/08/16 |
Jl. Tukad Pakerisan |
|
Denpasar |
| 27 |
Yudi, I Made |
2 |
Years |
Male |
30-Agust-99 |
Left side Cleft Lip & Alveolaris (Labiognatoschizis
Unilateral Sinistra) |
1,215,900 |
labioplasty |
|
Bitra |
|
Gianyar |
| 28 |
Sri Agaryuni, Komang |
13 |
Months |
Female |
03-Sep-99 |
Right Cleft Lip & Palate (Labiognatoschizis Dextra) |
1,235,300 |
labioplasty |
|
Banyuning |
|
Singaraja |
| 29 |
Muliani, Bayi Made |
4 |
months |
Female |
06-Sep-99 |
Right Cleft Lip Unilateral (Labiognatopalatoschizis Dextra) |
1,217,500 |
labioplasty |
|
Gitgit |
|
Singaraja |
| 30 |
Adi Pratama |
15 |
Months |
Male |
11-Sep-99 |
Double Cleft Lip and Palate (Pro Operasi Palatoplasty) |
1,165,800 |
27/01/99 |
11/09/99 |
27/01/02 |
27/01/05 |
27/01/15 |
Banjar Gede Anggungan |
Mengwi |
Badung |
| 31 |
Sariani, Ketut |
8 |
years |
Male |
20-Sep-99 |
Left side Cleft Lip & Palate post Labioplasty Pro operasi
Palatoplasty |
1,130,500 |
palatoplasty |
21/09/99 |
|
Gitgit |
|
Singaraja |
| 32 |
Krismantari, Komang |
1 |
Years |
Female |
28-Sep-99 |
Cleft Palate (Pro Operasi Palatoplasty) |
1,140,500 |
palatoplasty |
|
Tangkuban Perahu |
|
Denpasar |
| 33 |
Adi Gunawan, Kadek |
5 |
Months |
Male |
09-Okt-99 |
Right Left Lip & Palate ( Pro Operasi Labioplasty) |
1,195,700 |
10/09/99 |
10/04/00 |
10/04/04 |
10/04/06 |
10/04/15 |
Desa Tingihan |
Kauh Bebahem |
Karangasem |
| 34 |
Mega, Ni Ketut |
1 |
Years |
Female |
25-Okt-99 |
Double Cleft Lip & Palate (Pro Repair Palatoplasty dan
Labiopalasty) |
1,315,300 |
01/11/99 |
|
Raya Sesetan 156 |
|
Denpasar |
| 35 |
Pranata, Adi |
15 |
Months |
Male |
09-Nop-99 |
Double Cleft Lip and Palate (Pro Operasi Palatoplasty) |
1,165,800 |
27/01/99 |
11/09/99 |
27/01/02 |
27/01/05 |
27/01/15 |
Banjar Gede |
Anggungan |
Mengwi |
| 36 |
Suwita, Ni Kadek |
7 |
Years |
Female |
10-Nop-99 |
Double
Cleft Lip & Palete (Pro Labioplasty) |
1,123,700 |
19/10/99 |
|
Dusun Linggasana |
Bebadem |
Karangasem |
| 37 |
Ardika, I Nengah |
10 |
Months |
Male |
10-Nop-99 |
Right Cleft Lip & Palate (Pro Labiopiasty) |
1,234,300 |
19/10/99 |
04/08/00 |
04/08/03 |
04/08/07 |
|
Dusun Bukit Manggis |
|
Karangasem |
| 38 |
Ruki, Ni Kadek |
2 |
Years |
Female |
10-Nop-99 |
Right Cleft Lip & Palate (Pro Operasi Labiopiasty) |
1,235,300 |
19/10/99 |
|
Desa Untalan Bebadem |
|
Karangasem |
| 39 |
Suarnata, I Kadek |
3 |
Months |
Male |
10-Nop-99 |
Cleft Lip and Palate (Pro operasi Labioplasty) |
1,170,300 |
labioplasty |
|
Dusun Delod Wates |
Bebadem |
Karangasem |
| 40 |
Lis Hasanah |
5 |
Years |
Female |
13-Nop-99 |
Cleft Lip and Palate Pro operasi Labioplasty (tahap I) |
1,170,500 |
05/12/99 |
|
Imam Bonjol |
|
Denpasar |
|
Total |
24,036,800 |
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