| 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 |
|
| |
|
|
|
|
|
Previous Balance |
439,671,550 |
|
|
|
|
|
|
|
|
|
| 281 |
Putu Widiastuti |
2 |
Years |
Female |
19-Feb-04 |
Double Cleft Lip & Palate |
1,731,100 |
19/02/04 |
19/02/04 |
09/02/07 |
19/02/19 |
|
Br. Jelijih Sandapura |
Pupuan |
Gianyar |
|
| 282 |
Made Reski |
3 |
Years |
Male |
19-Feb-04 |
Left side Cleft Lip & Palate |
1,814,600 |
19/02/04 |
15/07/04 |
15/12/06 |
15/12/10 |
|
Jl. Puputan Gg. XV |
Semarapura |
Klungkung |
|
| 283 |
Kadek Diki Dwipayana |
5 |
Months |
Male |
20-Feb-04 |
Right Cleft Lip |
1,856,100 |
20/02/04 |
|
20/02/08 |
|
|
Br. Subamia |
Ambal-ambal |
Tabanan |
|
| 284 |
Bayi Sugiarti/Valen Mahardika |
1 |
Years |
Male |
25-Feb-04 |
Left side Cleft Lip & Palate |
1,726,100 |
|
25/02/04 |
25/02/08 |
25/02/11 |
|
Jl. Tukad Pakerisan Gg.
II/3 |
Denpasar |
|
| 285 |
Sri Utami Dewi |
4 |
Years |
Female |
25-Feb-04 |
Double Cleft Lip & Palate |
1,756,100 |
|
25/02/04 |
|
19/02/07 |
|
Br. Puring Sangketan |
Penebel |
Tabanan |
|
| 286 |
Nengah Bagiarta |
10 |
Years |
Male |
27-Feb-04 |
Left side Cleft Lip & Palate |
1,761,100 |
|
27/02/04 |
27/02/05 |
27/02/06 |
|
Br. Metulis Dawan |
|
Klungkung |
|
| 287 |
Putu Yoga Antara |
9 |
Years |
Male |
27-Feb-04 |
Bilateral Cleft Lip & Palate |
1,731,100 |
|
27/02/04 |
27/02/05 |
27/02/06 |
|
Br. Metulis Dawan |
|
Klungkung |
|
| 288 |
Kadek Devi Anita |
6 |
Years |
Female |
27-Feb-04 |
Fistel Palatoschizis |
1,753,600 |
|
27/02/04 |
27/02/05 |
08/07/07 |
|
Br. Angkan |
|
Klungkung |
|
| 289 |
Wayan Ria Yuniari |
12 |
Years |
Female |
30-Apr-04 |
Left side Cleft Lip & Palate |
1,891,100 |
30/04/04 |
|
|
Br. Pekandelan |
Marga |
Tabanan |
|
| 290 |
Kadek Wirawan |
6 |
Months |
Male |
04-Mei-04 |
Right Cleft Lip & Palate |
1,856,100 |
04/05/04 |
04/12/04 |
04/12/08 |
04/12/11 |
|
Br. Petang Kutuh |
Kuta Selatan |
Badung |
|
| 291 |
Wayan Pageh Yasa |
2 |
Years |
Male |
05-Mei-04 |
Bilateral Cleft Lip & Palate |
1,850,600 |
|
05/05/04 |
27/05/06 |
27/05/09 |
|
Br. Sumampan |
Kemenuh |
Gianyar |
|
| 292 |
Kadek Agus Wiguna |
1 |
Years |
Male |
07-Mei-04 |
Left side Cleft Lip & Palate |
1,896,100 |
07/05/04 |
07/12/04 |
07/05/07 |
07/05/10 |
|
Br. Sema Semita |
|
Gianyar |
|
| 293 |
Wayan Karlos |
5 |
Months |
Male |
13-Mei-04 |
Left side Cleft Lip & Palate |
1,746,100 |
13/05/04 |
07/12/04 |
07/05/07 |
07/05/10 |
|
Br.Jasan Sebatu |
Tegalalang |
Gianyar |
|
| 294 |
Kadek Budiarta |
1 |
Years |
Male |
14-Mei-04 |
Left side Cleft Lip & Palate |
1,760,600 |
14/05/04 |
14/12/04 |
|
14/05/09 |
|
Br. Keladian |
Rendang |
Karangasem |
|
| 295 |
Ketut Suastini |
6 |
Years |
Female |
14-Mei-04 |
Left side Cleft Lip & Palate |
1,626,100 |
14/05/04 |
|
14/12/08 |
14/12/11 |
|
Br. Pulu Songan |
Kintamani |
Bangli |
|
| 296 |
Ni Luh Juliantini |
3 |
Years |
Female |
14-Mei-04 |
Double Cleft Lip & Palate |
1,760,600 |
14/05/04 |
14/12/04 |
|
14/05/09 |
|
Br. Batu Gambir |
Teja Kula |
Buleleng |
|
| 297 |
Komang Surya Yasa |
3 |
Years |
Male |
19-Mei-04 |
Left side Cleft Lip & Palate |
1,741,100 |
19/05/04 |
|
19/05/06 |
19/05/08 |
|
Br. Batang |
Kintamani |
Bangli |
|
| 298 |
Luh Gd Kusuma Cahyaningrum |
5 |
Months |
Female |
04-Jun-04 |
Double Cleft Lip & Palate |
1,771,100 |
04/12/04 |
04/12/05 |
04/06/09 |
04/06/12 |
|
Br. Cau Blayu |
Marga |
Tabanan |
|
| 299 |
Putu Putri Sari Andrianingsih |
3 |
Months |
Female |
08-Jun-04 |
Right Cleft Lip |
1,766,100 |
08/06/08 |
|
08/06/08 |
08/06/11 |
|
Br. Pemamoran |
Kuta |
Badung |
|
| 300 |
Sri Wahyuni |
4 |
Years |
Female |
08-Jun-04 |
Double Cleft Lip & Palate |
1,636,100 |
|
08/06/04 |
|
08/06/08 |
|
Jl. Puputan Gg. XI No.3 |
|
Klungkung |
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| |
|
|
|
|
|
Total Spending |
475,103,050 |
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