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

181

Yoga Pratama

5

Months

Male

03-Des-02

Left side Cleft Lip & Palate

1,688,200

03/12/02

03/07/03

03/07/06

03/07/09

Br. Kerandan

Pemecutan Klod

Denpasar

182

Mitra Ariawan, I Komang

6

Months

Male

18-Des-02

Left side Cleft Lip & Palate (Labiognatopalatoschizis Sinistra)

1,675,900

18/12/02

18/06/03

18/06/06

18/06/09

Br. Jungutan

Bebandem

Karangasem

183

Ekawana, Made

4

Months

Male

19-Des-02

Double Cleft Lip & Palate (Labiognatopalatoschizis Sinistra)

1,691,000

19/12/02

19/06/03

19/06/06

18/06/09

Desa Lembean

Kintamani

Bangli

184

Sutama Jati

4

Months

Male

19-Des-02

Left side Cleft Lip & Palate (Labiognatopalatoschizis Sinistra)

1,685,300

19/12/03

19/09/03

19/06/06

18/06/09

Br. Manjul Panji

Singaraja

185

Kusumawardani, Gusti Ayu

14

Months

Female

23-Des-02

Left side Cleft Lip & Palate

1,803,600

23/12/02

23/12/02

08/02/06

08/02/06

Br. Belah Luwus

Baturiti

Tabanan

186

Gede Bayu Raga Alam

3

Months

Male

09-Jan-03

Left side Cleft Lip & Palate

1,703,600

09/01/03

09/10/03

09/10/06

09/11/10

Br. Teges

Gianyar

187

Deva Mariana

1

Year

Male

13-Jan-03

Right side Cleft Lip & Palate

1,675,900

13/01/03

12/06/03

12/06/07

12/06/10

Br. Pasekan Buduk

Mengwi

Badung

188

Komang Ayu Darmayanti

1,5

Years

Female

14-Jan-03

Left side Cleft Lip & Palate (Labiognatopalatoschizis Sinistra)

1,601,000

14/01/03

14/01/03

14/07/06

18/06/09

Br. Tagalsari

Ds. Bubunan Seririt

Singaraja

189

Made Hindi

1,5

Years

Male

15-Jan-03

Left side Cleft Lip & Palate

1,635,300

15/01/03

15/01/03

15/01/06

15/01/09

Br. Tamansari

Tianyar Barat

Karangasem

190

Ni Wayan Nadiasih

21

Years

Female

06-Jan-03

Left side Cleft Lip & Palate Left Side Complete

1,735,900

06/01/03

06/01/03

06/01/04

06/01/04

Br. Bubunan Tinga-Tinga

Gerokgak

191

Widiastuti

1

Years

Female

17-Jan-03

Left side Cleft Lip & Palate

1,702,500

17/01/03

17/06/03

17/06/06

17/06/09

Br. Jelijih Sandapura

Pupuan

Tabanan

192

Komang Melsi

3

Months

Female

15-Jan-03

Left side Cleft Lip & Palate

1,698,600

15/01/03

15/10/03

15/10/06

15/10/09

Br. Dukuh Sawan

Buleleng

Singaraja

193

Ni Wayan Kusumawati

28

Years

Female

27-Jan-03

Left side Cleft Lip & Palate

1,655,900

27/01/03

27/01/03

06/01/04

06/01/04

Br. Taman Kaja

Ubud

Gianyar

194

Putu Ananda Sastrarini

1

Year

Female

30-Jan-03

Right side Cleft Lip & Palate

1,703,600

30/01/03

30/07/03

30/01/06

30/01/09

Br. Badung Pejaten

Kediri

Tabanan

195

I Made Sukanata

22

Years

Male

09-Feb-03

Right side Cleft Lip & Palate (Labiognatopalatoschizis Sinistra)

1,631,000

09/02/03

09/02/03

09/08/03

Br. Uma Alas Kauh

Kerobokan Kelod

Badung

196

Bayi Ida Ayu Putri

6

Months

Female

11-Feb-03

Left side Cleft Lip & Palate (Labiognatopalatoschizis Sinistra)

1,681,000

11/02/03

11/02/04

19/06/07

18/06/09

Br. Mantring

Tampak Siring

Gianyar

197

Pageh Yasa

4

Months

Male

14-Feb-03

Left side Cleft Lip & Palate (Labiognatopalatoschizis Sinistra)

1,681,000

14/02/03

19/08/03

19/08/06

18/08/09

Br. Sumampan

Kemenuh

Gianyar

198

Kadek Mertayasa

2

Years

Male

19-Feb-03

Double Cleft Lip & Palate

1,881,000

19/02/03

19/08/03

19/08/05

19/08/08

Br. Pendem

Selat

Karangasem

199

Gede Wahyu Adi Pratama

9

Months

Male

19-Feb-03

Left side Cleft Lip & Palate

1,693,600

19/02/03

19/07/03

19/07/06

19/07/09

Br. Kawan

Muncan

Karangasem

200

Safika

12

Months

Female

06-Mar-03

Double Cleft Lip & Palate

1,773,600

06/03/03

30/04/06

30/04/09

Jl.Tukad Yeh Biu

Gg. Anggrek No. 12

Denpasar

Total

33,997,500