| 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 |
| 81 |
Sukmaningsih, Putu |
3 |
Months |
Female |
19-Feb-01 |
Bilateral Cleft Lip and Palate Pro operasi Labioplasty |
1,464,000 |
|
Jl. Nusa kambangan |
Gang II/5 |
Denpasar |
| 82 |
Restu Sanjaya |
3 |
Months |
Male |
27-Mar-01 |
Right Cleft Lip and Palate Komplit Pro operasi Labioplasty |
1,465,900 |
29/03/01 |
29/12/01 |
|
Br. Tringkep Kerep |
Tengkudak Penebel |
Tabanan |
| 83 |
Sudarta, Wayan |
7 |
Months |
Male |
27-Mar-01 |
Left Cleft Lip & Palate Pro Operasi Labioplasty |
1,544,000 |
29/03/01 |
29/08/01 |
|
Br. Pakilem Selam |
Bawak Marga |
Tabanan |
| 84 |
Sudiarta, Kadek |
1 |
Years |
Male |
02-Mei-01 |
Right Cleft Lip & Palate inkomplit Pro operasi Labioplasty |
1,470,800 |
05/04/01 |
|
Br. Sengguan |
Kangin |
Gianyar |
| 85 |
Agus Budayasa |
4 |
Years |
Male |
12-Mei-01 |
Cleft Lip & palate Pro operasi palatoplasty |
1,361,000 |
v |
22/05/01 |
22/05/02 |
22/05/04 |
|
Br. Kendran |
Tegallalang |
Gianyar |
| 86 |
Milayanti, Dsk. Putu |
7 |
Months |
Female |
14-Mei-01 |
Bilateral Cleft Lip & Palate Pro Repair Labioplasty |
1,442,100 |
|
Br. Sandatan |
Petang |
Badung |
| 87 |
Galang Jaya Dwipa, Ng. |
3 |
Years |
Male |
18-Mei-01 |
Left side Cleft Lip and Palate Pro operasi Labioplasty |
1,471,200 |
|
Bodalem |
|
Singaraja |
| 88 |
Juliantini |
8 |
Months |
Female |
09-Apr-01 |
Bilateral Cleft Lip & Palate Pro Labio Schizis |
1,385,700 |
12/04/01 |
|
Br. Batujimbar |
Tejakula |
Buleleng |
| 89 |
Dwijayanti, Kadek |
16 |
Months |
Female |
06-Jun-01 |
Left side Cleft Lip & Palate Pro operasi Palatoplasty |
1,322,100 |
|
06/07/01 |
|
Jl. Pelabuhan Padangbai |
|
Karangasem |
| 90 |
Eka Wardana, Ida Bagus |
3 |
Months |
Male |
09-Jun-01 |
Lefht Colft and Palate Complate Pro operasi Labioplasty |
1,513,900 |
|
Br. Tegalalang |
|
Bangli |
| 91 |
Eka Candra, I Gede |
6 |
Months |
Male |
09-Jun-01 |
Left Cleft Lip & Palate Complate Pro operasi Labioplasty |
1,323,900 |
|
06/11/01 |
|
Br. Meregan |
Kel. Semara Klod |
Kelungkung |
| 92 |
Hendwiyani |
3 |
Months |
Female |
20-Agust-01 |
Right side Cleft Lip and Palate Operasi Labioplasty |
1,484,500 |
|
Br. Sedahan Gulingan |
Mengwi |
Badung |
| 93 |
Bayu Kurnia Putra |
14 |
Months |
Male |
09-Agust-01 |
Double Clip & Palate |
1,462,650 |
09/08/01 |
18/03/02 |
18/06/04 |
18/06/07 |
18/06/17 |
BTN Mandalika No. 22 |
Praya |
Loteng |
| 94 |
Dwipayana, Krisna |
4 |
Years |
Male |
05-Sep-01 |
Fistel palatoschiozis & bifid uvula Operasi Repair
palatasty |
1,396,750 |
05/09/01 |
|
Jln. Melati No. 5 |
|
Singaraja |
| 95 |
Sukamaningsih, Putu |
9 |
Months |
Female |
11-Sep-01 |
Left cleft Lip & Palate pro Palatoplasty |
1,411,300 |
|
Br. Jehen Kangin |
Tembuku |
Bangli |
| 96 |
Sugiantara I Gd. |
12 |
Years |
Male |
02-Okt-01 |
Labio Palato schisis Operasi Bonegraft |
1,491,000 |
|
Br. Bugbug |
|
Karangasem |
| 97 |
Prawirahita Padukuhan Sri |
6 |
Months |
Female |
03-Okt-01 |
Labioschisis labioplasty |
1,345,800 |
03/10/01 |
|
Jl. Airlangga |
SDLBN |
Gianyar |
| 98 |
Supartana, Kadek |
5 |
Months |
Male |
09-Okt-01 |
labio Palato schisis Operasi Labioplasty |
1,447,000 |
|
Br. Pengembungan |
Ds. Bongkasa Abiansemal |
Badung |
| 99 |
Windasari, Putu |
2,5 |
Months |
Female |
24-Okt-01 |
Labischisis Sinistra labioplasty |
1,436,000 |
24/10/01 |
|
Br. Petak |
Bebalang |
Bangli |
| 100 |
Hendry Wahyudi |
6 |
Years |
Male |
29-Okt-01 |
Cleft Lip & palate Left side Opr labioplasty one step |
1,515,800 |
|
Setanggar |
Praya |
NTB |
| |
|
|
|
|
|
Total |
28,755,400 |
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