| 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 |
| 161 |
Ratih, Siluh |
11 |
Months |
Female |
03-Agust-02 |
Left side Cleft Lip & Palate Operasi Labioplasty |
1,796,000 |
|
Br. Singaran |
Penebel |
Tabanan |
| 162 |
Agus Diana |
3 |
Months |
Male |
10-Agust-02 |
Left side Cleft Lip & Palate Operasi Labioplasty |
1,677,900 |
|
Jl. Puputan Baru Gg. I.2 |
Padang Sambian |
Denpasar |
| 163 |
Ari, Komang |
3 |
Months |
Male |
12-Agust-02 |
Left side Cleft Lip & Palate Operasi Labioplasty |
1,605,900 |
|
Br. Penamparan Manukaya |
Tampak Siring |
Gianyar |
| 164 |
Yusri |
3 |
Months |
Male |
16-Agust-02 |
Left side Cleft Lip & Palate Operasi Labioplasty &
Repair Lip |
1,818,600 |
|
Br. Dangin Sema |
|
Karangasem |
| 165 |
Devi Mariani, Nyoman |
8 |
Months |
Female |
20-Agust-02 |
Left side Cleft Lip & Palate Operasi Labioplasty |
1,683,600 |
|
Br.Pasekan Buduk |
Mengwi |
Badung |
| 166 |
Rahman Wahyu |
4 |
Years |
Male |
20-Agust-02 |
Left side Cleft Lip & Palate Operasi Labioplasty |
1,606,000 |
|
Jl. Batur No. 79 |
|
Banyuwangi |
| 167 |
Sujana Lastra |
8 |
Months |
Male |
31-Agust-02 |
Double Cleft Lip & Palate Operasi Palatoplasty |
1,716,000 |
|
Br. Badung Gulingan |
Mengwi |
Badung |
| 168 |
Tegar, Kadek |
10 |
Months |
Male |
02-Sep-02 |
Bilateral Cleft Lip & Defek Orbita Operasi Labioplasty |
1,782,900 |
|
Br. Bukian Payangan |
|
Gianyar |
| 169 |
Sutiasih, Ni Luh |
18 |
Months |
Female |
03-Sep-02 |
Left side Cleft Lip & Palate Operasi Labioplasty |
1,676,000 |
|
Br.Kutuh Sayan |
Ubud |
Gianyar |
| 170 |
Bayi Supartini |
3 |
Months |
Female |
17-Sep-02 |
Unilateral Palato complit |
1,716,000 |
17/09/02 |
17/0703 |
17/07/06 |
17/07/10 |
|
Br. Kanginan |
Teja Kula, Buleleng |
Singaraja |
| 171 |
Juni Antara |
2 |
Years |
Male |
24-Sep-02 |
Left side Cleft Lip & Palate |
1,551,000 |
|
24/09/02 |
24/09/04 |
24/09/07 |
24/09/17 |
Dusun Bugbug |
|
Karangasem |
| 172 |
Winarti, Kadek |
8 |
Months |
Female |
25-Sep-02 |
Right side Cleft Lip & Palate |
1,683,000 |
25/09/02 |
25/01/03 |
25/01/06 |
25/01/09 |
|
Br. Sayan |
Bongkasa, Abian Semal |
Badung |
| 173 |
Darmawan, Made |
19 |
Years |
Male |
26-Sep-02 |
Left side Cleft Lip & Palate |
1,676,000 |
26/09/02 |
26/09/02 |
26/05/03 |
26/05/03 |
|
Jl. Merak Gg. III/4 |
|
Denpasar Timur |
| 174 |
Kadek Puspawati |
3 |
Months |
Female |
8-Okt-02 |
Labiognato Palatoschisis |
1,803,000 |
08/10/02 |
08/02/06 |
08/02/06 |
08/02/09 |
|
Br. Lebih Duur Kaja |
|
Gianyar |
| 175 |
Safika |
6 |
Months |
Female |
30-Okt-02 |
Double Cleft Lip & Palate |
1,677,900 |
30/10/02 |
30/04/03 |
30/04/06 |
30/04/09 |
30/04/19 |
Jl. Tukad Yeh Biyu |
Gg. Anggrek No. 12 |
Denpasar |
| 176 |
Sulaksana |
4 |
Years |
Male |
01-Nop-02 |
Left Cleft Lip & Palate Right side Hernia Inguinalis
Polidactyli |
2,635,900 |
01/11/02 |
|
01/11/03 |
01/11/06 |
|
Br. Tegal Badeng Timur |
Jembrana |
Negara |
| 177 |
Susilawati, Ni Made |
7 |
Months |
Female |
04-Nop-02 |
Double Cleft Lip & Palate |
1,718,600 |
04/11/02 |
04/04/03 |
04/04/06 |
04/04/10 |
04/04/19 |
Br. Baler Bale Agung |
Jembrana |
Negara |
| 178 |
Bayi Karni |
4 |
Months |
Female |
08-Nop-02 |
Left side Cleft Lip & Palate |
1,650,500 |
08/11/02 |
08/07/03 |
08/07/06 |
08/07/10 |
|
Br. Selabih Lalang Linggah |
Selemadeg |
Tabanan |
| 179 |
Krisna, Kadek |
4 |
Months |
Male |
26-Nop-02 |
Right side Cleft Lip & Palate |
1,677,900 |
26/11/02 |
26/11/03 |
26/11/06 |
26/11/09 |
|
Br. Kangin Sidakarya |
|
Denpasar |
| 180 |
Wahyu Darma Putra |
4 |
Years |
Male |
03-Des-02 |
Left side Cleft Lip & Palate |
1,707,600 |
03/12/02 |
|
03/12/05 |
|
Sidemen |
|
Karangasem |
| |
|
|
|
|
|
Total |
34,860,300 |
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