| TOTAL NUMBER OF OPERATION |
|
|
|
|
|
| FROM DECEMBER 1998
ONWARDS |
|
| 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 |
|
| 241 |
Merta Adi |
1 |
Years |
Male |
04-Sep-03 |
Double Cleft Lip & Palate |
1,741,100 |
|
03/09/06 |
04/09/06 |
04/09/09 |
|
Br. Penarukan Kaja |
|
Tabanan |
|
| 242 |
Gusti Putu Ariani |
18 |
Years |
Female |
10-Sep-03 |
Right side Cleft Lip & Palate |
1,961,100 |
|
10/09/03 |
|
12/09/04 |
|
Br. Panji Singaraja |
|
Singaraja |
|
| 243 |
Kadek Ari |
2 |
Years |
Male |
25-Sep-03 |
Double Cleft Lip |
1,851,100 |
25/Sep/03 |
|
25/09/08 |
|
Jl. Mawar 24 |
Grokgak |
Tabanan |
|
| 244 |
I Kadek Tegar |
2 |
Years |
Male |
29-Sep-03 |
Double Cleft Lip & Palate |
1,896,100 |
29/Sep/03 |
|
29/09/05 |
29/09/08 |
|
Br. Bukian |
Payangan |
Gianyar |
|
| 245 |
I Kadek Subagia |
1.5 |
Years |
Male |
09-Okt-03 |
Double Cleft Lip & Palate |
1,681,100 |
|
09/10/03 |
09/10/05 |
09/10/08 |
|
|
Kintamani |
Bangli |
|
| 246 |
Pageh Yasa |
1.5 |
Years |
Male |
29-Okt-03 |
Double Cleft Lip & Palate |
1,701,100 |
|
10/10/03 |
10/10/05 |
10/10/08 |
|
Br. Sumampan |
Kemenuh |
Gianyar |
|
| 247 |
Wayan Lumut |
32 |
Years |
Male |
14-Okt-03 |
Left Cleft Lip & Lipoma |
2,086,100 |
14/Okt/03 |
|
14-oct-05 |
|
Br. Cebok Kedisan |
Tegallalang |
Gianyar |
|
| 248 |
Dayut Yudi Sena |
2 |
Years |
Male |
10-Okt-03 |
Right Cleft Lip |
1,846,100 |
10/Okt/03 |
|
10/10/05 |
|
Jl. Badak Agung II/4 |
Renon |
Denpasar |
|
| 249 |
Pageh Yasa |
1,5 |
Years |
Male |
10-Okt-03 |
Double Cleft Lip |
1,701,100 |
|
10/10/03 |
10/10/05 |
10/10/08 |
|
Br. Sumampan |
Kemenuh |
Gianyar |
|
| 250 |
Wayan Lumut |
32 |
Years |
Male |
14-Okt-03 |
Left side Cleft Lip + Lipoma |
2,086,100 |
14/10/03 |
|
14/10/03 |
14/10/03 |
|
Br. Cebok Kedisan |
Tegalalang |
Gianyar |
|
| 251 |
Ketut Purnama |
4 |
Months |
Male |
27-Okt-03 |
Left side Cleft Lip & Palate + Hernia |
1,981,100 |
27/10/03 |
27/10/04 |
27/10/08 |
|
|
Br. Sabang Selulung |
Kintamani |
Bangli |
|
| 252 |
Wayan Putriani |
2 |
Years |
Female |
28-Okt-03 |
Palatoschisis |
1,676,100 |
|
28/10/03 |
|
28/10/08 |
|
Br. Pinda |
Blahbatuh |
Gianyar |
|
| 253 |
Bayi Narti |
4 |
Months |
Female |
04-Nop-03 |
Left side Cleft Lip & Palate |
1,876,100 |
04/11/03 |
04/11/04 |
04/11/08 |
04/11/11 |
|
Jl. Sedap Malam |
Gg Nusa Indah No. 1 |
Denpasar |
|
| 254 |
Bayi Nyoman Torni |
4 |
Months |
Male |
07-Nop-03 |
Right side Cleft Lip |
1,886,100 |
07/11/03 |
07/11/04 |
07/11/08 |
07/11/11 |
|
Br. Uma Duwang |
Marga |
Tabanan |
|
| 255 |
Bayi Kadek Santiani |
3 |
Months |
Male |
17-Nop-03 |
Bilateral Cleft Lip & Palate |
1,971,100 |
17/11/03 |
17/11/04 |
17/11/08 |
07/11/11 |
|
Jl. Pulau Moyo |
Gg. Buntu No. 12 |
Denpasar |
|
| 256 |
Yoga Pratama |
1,5 |
Years |
Male |
21-Nop-03 |
Right side Cleft Lip |
1,926,100 |
21/11/03 |
21/11/03 |
21/11/05 |
21/11/07 |
|
Br. Kerandan |
Pemecutan Kelod |
Denpasar |
|
| 257 |
I Putu Sedana |
1,5 |
Years |
Male |
24-Nop-03 |
Left side Cleft Lip & Palate |
1,876,100 |
|
24/11/03 |
24/11/05 |
21/11/09 |
|
Desa Plaga |
Petang |
Badung |
|
| 258 |
Ni Kadek Sari |
8 |
Years |
Female |
04-Des-03 |
Left side Cleft Lip & Palate |
1,751,100 |
04/12/03 |
04/12/04 |
|
04/12/06 |
|
Br. Giringan, Desa Sukawana |
Kintamani |
Bangli |
|
| 259 |
Sila Wahyu Dana |
9 |
Months |
Male |
05-Des-03 |
Left side Cleft Lip & Palate |
1,891,100 |
05/12/03 |
05/07/04 |
05/07/06 |
05/07/09 |
|
Br. Dause, Desa Dausa |
Kintamani |
Bangli |
|
| 260 |
Nyoman Asih |
12 |
Years |
Female |
08-Des-03 |
Bilateral Cleft Lip & Palate |
1,767,100 |
08/12/03 |
08/07/04 |
08/07/05 |
08/07/07 |
|
Br.Tanah Da'a, Ds. Sukawana |
Kintamani |
Bangli |
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Total Spending |
402,152,550 |
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