| 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 |
| 101 |
Tedy Kurniawan |
2,5 |
Years |
Male |
29-Okt-01 |
Cleft
Lip & palate Left side Opr labioplasty |
1,375,800 |
|
Jl. Pendidikan 76 |
|
Denpasar |
| 102 |
Ayu Darmayanti KM. |
6 |
Months |
Male |
07-Nop-01 |
Labiognatoschisls Opr labioplasty |
1,485,800 |
07/11/01 |
07/05/02 |
07/05/05 |
07/05/08 |
|
Seririt |
|
Singaraja |
| 103 |
Aserawati, Made |
1,5 |
Years |
Male |
09-Nop-01 |
Cleft Lip & Palate Post labiopalsty Opr Palatoplasty |
1,301,200 |
|
09/11/01 |
09/11/03 |
09/11/07 |
|
Br. Wali Yeh |
Embang |
Negara |
| 104 |
Mayoni, Gusti Ayu |
3 |
Months |
Female |
18-Des-01 |
Labioschisis Right Side Opr labioplasty |
1,465,800 |
|
Br. Manik Anyar |
Tampaksiring |
Gianyar |
| 105 |
Selamet Juliana, Nyoman |
2,5 |
Months |
Male |
19-Des-01 |
Labiognatoschisis Sinistra Opr Labioplasty |
1,485,800 |
|
19/12/01 |
|
Br. Sengguan |
Dawan |
Kelungkung |
| 106 |
Ratih luh Si. |
4 |
Months |
Female |
02-Jan-02 |
Labiognatoschisls (Labiognatopalatoschizis dextra) |
1,427,300 |
|
Br. Singaran |
Panebel |
Tabanan |
| 107 |
Adi Wirawam, I Kadek |
2 |
Years |
Male |
08-Jan-02 |
Double Labio-palatoshisis Opr Repair Labioplasty &
Palatoplasty |
1,502,300 |
08/01/02 |
08/01/02 |
08/01/04 |
08/01/07 |
08/01/17 |
Br. Selat Sangeh |
Abiansemal |
Badung |
| 108 |
Muriasih, I Ketut |
5 |
Years |
Female |
09-Jan-02 |
Palatoschisis Opr Palatoplasty |
1,340,800 |
09/01/02 |
|
Br. Jegu |
Penebel |
Tabanan |
| 109 |
Savitri, Ida Ayu |
1,5 |
Years |
Female |
09-Jan-02 |
Palatoschisis Opr Palatoplasty |
1,325,800 |
09/01/02 |
|
Griya Sama |
Tembuku |
Bangli |
| 110 |
Suka Ariasa |
4 |
Years |
Male |
21-Jan-02 |
Palatoschisis Opr Palatoplasty |
1,325,800 |
21/01/02 |
|
Br. Sibang Kaja |
Abiansemal |
Badung |
| 111 |
Suantara, I Made |
9 |
Months |
Male |
22-Jan-02 |
Labio Palatoschisis Opr Labioplasty |
1,340,800 |
|
Br. Taro Kaja |
Tegalalang |
Gianyar |
| 112 |
Purnama Dew,i Gede Luh |
11 |
Years |
Female |
29-Jan-02 |
Palatoschisis in komplit Pro Opr Palatoplasty |
1,405,000 |
|
Br. Angsri |
Baturiti |
Tabanan |
| 113 |
Budiartana Kadek |
6 |
Months |
Male |
02-Feb-02 |
Labiognatopalatoschisis (Labiognatopalatoschizis Unilateral
Dextra) |
1,446,000 |
02/02/02 |
02/07/02 |
02/07/05 |
|
Br. Batu |
Giling Kubu |
Karangasem |
| 114 |
Winyani Nengah Bayi |
3 |
Months |
Male |
04-Feb-02 |
Labioschisis labioplasty |
1,445,500 |
04/02/02 |
|
Br. Sekaan |
Kintamani |
Bangli |
| 115 |
Jadi Artaguna, Kadek |
4.5 |
Years |
Male |
18-Feb-02 |
Palatoschisis Pro operasi Palatoplasty |
1,345,900 |
18/02/02 |
|
Br. Senganan |
|
Tabanan |
| 116 |
Lira Indra Bayi, Putu |
5 |
Months |
Female |
27-Feb-02 |
Labioschisis Sinistra Inkomplate Labioplasty |
1,446,000 |
27/02/02 |
27/02/02 |
27/08/02 |
27/08/05 |
|
Br. Belong |
Manggis |
Karangasem |
| 117 |
Yasa, Komang |
6 |
Months |
Male |
06-Mar-02 |
Left side Cleft Lip Op. Labioplasty |
1,490,900 |
|
Br. Pempatan Tumbak Bayun |
Mengwi |
Badung |
| 118 |
Bayu Kurnia Putra |
21 |
Months |
Male |
18-Mar-02 |
Labio Palatoschisis Bilateral Pro Oprerasi Palatoplasty |
2,029,000 |
09/08/01 |
18/03/02 |
18/06/04 |
18/06/07 |
18/06/17 |
BTN Mandalika No. 22 |
Praya |
Loteng |
| 119 |
Supartana, Kadek |
10 |
Months |
Male |
18-Mar-02 |
Bialateral Cleft Lip & Palate Post Op labioplasty
palatoplasty |
1,371,000 |
|
Br. Pengembungan Bongkasa |
Abian semal |
Badung |
| 120 |
Hindi, I Made |
4 |
Months |
Female |
19-Mar-02 |
Left Cleft Lip & Palate Pro labioplasty |
1,475,500 |
|
Br. Taman Sari |
Tianyar |
Karangasem |
| |
|
|
|
|
|
Total |
28,832,000 |
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