| TOTAL NUMBER OF OPERATION |
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| FROM DECEMBER 1998
ONWARDS |
|
| Cleft Lip and Palate
Program |
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|
| RSUP Sanglah,
Denpasar |
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| Rotary Club Bali
Nusa Dua |
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| 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 |
|
| 261 |
Darmawan |
3 |
Months |
Male |
08-Des-03 |
Bilateral Cleft Lip & Palate |
1,885,100 |
08/12/03 |
08/12/04 |
08/12/07 |
08/12/10 |
|
Br. Bahan Kaja |
Payangan |
Gianyar |
|
| 262 |
Nengah Suare |
17 |
Months |
Male |
09-Des-03 |
Left side Cleft Lip & Palate |
1,866,100 |
09/12/03 |
09/08/04 |
09/08/06 |
09/08/09 |
|
Br. Subaya |
Kintamani |
Bangli |
|
| 263 |
Nabela Dwi Putri |
8 |
Months |
Female |
10-Des-03 |
Right side Cleft Lip & Palate |
1,896,100 |
10/12/03 |
10/12/04 |
10/12/05 |
10/12/09 |
|
Br. Telanga |
Darmasaba |
Badung |
|
| 264 |
Winasih |
3 |
Months |
Female |
15-Des-03 |
Left side Cleft Lip & Palate |
1,844,600 |
15/12/03 |
15/12/04 |
15/12/07 |
15/12/10 |
|
Br. Tegal Cerana |
Sangeh |
Badung |
|
| 265 |
Km Yudiantara |
14 |
Months |
Male |
16-Des-03 |
Right side Cleft Lip |
1,821,100 |
|
16/12/03 |
16/12/08 |
16/12/11 |
|
By Pass Sanur Gg. Penyu 3 A |
Sanur |
Denpasar Selatan |
|
| 266 |
Km Ayu Trinigini |
5 |
Months |
Female |
16-Des-03 |
Right side Cleft Lip |
1,886,100 |
16/12/03 |
16/12/04 |
16/12/08 |
16/12/11 |
|
Br. Suter Abang |
Batudinding |
Bangli |
|
| 267 |
Kadek Sukastawan |
23 |
Years |
Male |
19-Des-03 |
Left side Cleft Lip |
1,746,100 |
19/12/03 |
|
16/12/11 |
|
Dusun Dungkap |
Nusa Penida |
Klungkung |
|
| 268 |
Ni Putu Ria Yuniari |
12 |
Years |
Female |
29-Des-03 |
Left side Cleft Lip & Palate |
1,771,100 |
|
29/12/03 |
29/07/04 |
04/12/06 |
|
Br. Pekandelan |
Marga |
Tabanan |
|
| 269 |
Ni Putu Padmawati |
14 |
Months |
Female |
31-Des-03 |
Left side Cleft Lip & Palate |
1,881,100 |
31/12/03 |
31/07/04 |
31/07/06 |
31/07/09 |
|
Br. Sukawana |
Kintamani |
Bangli |
|
| 270 |
Fikri Hidayat |
11 |
years |
Male |
09-Jan-04 |
Right Cleft Lip & Palate |
1,866,100 |
09/01/04 |
|
09/01/07 |
|
Br. Kecicang |
Karangasem |
Karangasem |
|
| 271 |
Andre Krismantara |
10 |
Years |
Male |
09-Jan-04 |
Right Cleft Lip & Palate |
1,716,100 |
09/01/04 |
|
09/01/06 |
|
Jl Udayana No. 2 |
Singaraja |
Buleleng |
|
| 272 |
By Km Ariani/Bisma Pranata |
1 |
Years |
Male |
05-Feb-04 |
Double Cleft Lip & Palate |
1,981,100 |
05/02/04 |
05/02/04 |
05/02/07 |
05/02/10 |
|
Br. Auman |
Silemadeg |
Tabanan |
|
| 273 |
Nengah Depiani |
3 |
Years |
Male |
08-Feb-04 |
Left side Cleft Lip & Palate |
1,891,100 |
08/12/03 |
08/07/04 |
08/07/05 |
08/07/07 |
|
Br. Sampyang Ds Jati |
|
Karangasem |
|
| 274 |
Putu Suardana |
3 |
Months |
Male |
09-Feb-04 |
Left side Cleft Lip & Palate |
1,881,100 |
09/02/04 |
09/02/05 |
09/02/08 |
09/02/11 |
|
Br. Selabih Tengah |
Silemadeg Barat |
Tabanan |
|
| 275 |
Bayi Ekawati |
3 |
Months |
Male |
10-Feb-04 |
Bilateral Cleft Lip & Palate |
1,906,100 |
10/02/04 |
10/02/05 |
10/02/08 |
10/02/11 |
|
Br. Pande Sari |
Bebandem |
Tabanan |
|
| 276 |
I Made Artawan |
8 |
Years |
Male |
13-Feb-04 |
Left side Cleft Lip & Palate |
1,911,100 |
13/02/04 |
10/07/04 |
08/07/05 |
08/07/07 |
|
Br. Giringan Sukawana |
Kintamani |
Bangli |
|
| 277 |
Bayi Wayan Lastri |
1 |
Years |
Male |
16-Feb-04 |
Double Cleft Lip & Palate |
1,866,100 |
16/08/04 |
16/08/04 |
16/11/04 |
16/01/07 |
|
Br. KarangSari ds.Banyu Poh |
Grokgak |
Singaraja |
|
| 278 |
Antonius Agung |
11 |
Years |
Male |
17-Feb-04 |
Double Cleft Lip & Palate |
2,270,600 |
17/02/04 |
|
17/02/04 |
|
Br. Buruan Kelod |
Penebel |
Tabanan |
|
| 279 |
Ketut Widiadnyana |
3 |
Years |
Male |
18-Feb-04 |
Left side Cleft Lip & Palate |
1,781,100 |
18/02/04 |
16/08/04 |
|
16/12/08 |
|
Br. Dawan Kaler |
|
Klungkung |
|
| 280 |
Sri Wahyuni |
4 |
Years |
Female |
18-Feb-04 |
Right Cleft Lip |
1,851,100 |
18/02/04 |
18/02/04 |
|
16/12/07 |
|
Jl. Puputan Gg. XI No.3 |
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Klungkung |
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Total Spending |
439,671,550 |
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