| 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 |
475,103,050 |
|
|
|
|
|
|
|
|
|
|
| 301 |
I Wayan Patra |
1 |
Years |
Male |
09-Jun-04 |
Left side Cleft Lip & Palate |
1,741,100 |
09/06/04 |
09/12/04 |
19/06/06 |
19/05/08 |
|
Br. Pinggan |
Kintamani |
Bangli |
|
|
| 302 |
I Ketut Agus Triana |
15 |
Years |
Male |
09-Jun-04 |
Double Cleft Lip & Palate |
1,760,600 |
|
09/06/04 |
|
09/06/05 |
|
Br. Lateng Dause |
Kintamani |
Bangli |
|
|
| 303 |
I Ketut Purnama |
1 |
Years |
Male |
19-Jun-04 |
Double Cleft Lip & Palate |
1,771,100 |
19/06/04 |
|
04/06/09 |
04/06/12 |
|
Br. Sabang Selulung |
Kintamani |
Bangli |
|
|
| 304 |
Putu Indra Samego |
5 |
Months |
Male |
27-Jun-04 |
Left side Cleft Lip & Palate |
1,799,600 |
27/06/04 |
15/07/04 |
15/12/06 |
15/12/10 |
|
Br. Sengkidu |
Manggis |
Karangasem |
|
|
| 305 |
Sila Wahyu Dana |
1 |
Years |
Male |
08-Jul-04 |
Double Cleft Lip & Palate |
1,696,100 |
|
08/06/08 |
|
08/06/08 |
|
Br. Dause |
Kintamani |
Bangli |
|
|
| 306 |
Km Arista Wisnawa |
3 |
Months |
Male |
13-Jul-04 |
Right Cleft Lip & Palate |
1,796,100 |
13/07/04 |
13/07/05 |
13/07/08 |
13/07/11 |
|
Br. Tengah Kelod Gulingan |
Mengwi |
Badung |
|
|
| 307 |
Bayi Nantri |
1 |
Years |
Male |
15-Jul-04 |
Left side Cleft Lip & Palate |
1,691,100 |
|
15/07/04 |
15/07/04 |
19/05/08 |
|
Gg. Nusa Indah |
Jl.Sedap Malam |
Denpasar |
|
|
| 308 |
Ni Putu Yunita Dewi |
9 |
Years |
Male |
21-Jul-04 |
Double Cleft Lip & Palate |
1,750,600 |
21/07/04 |
|
09/06/05 |
|
Br. Bongan Pala |
|
Tabanan |
|
|
| 309 |
Made Karmayasa |
6 |
Years |
Male |
27-Jul-04 |
Left side Cleft Lip & Palate |
1,714,600 |
|
27/07/04 |
|
27/07/07 |
|
Desa Banyuning |
|
Singaraja |
|
| 310 |
Made Sutarningsih |
16 |
Years |
Female |
28-Aug-04 |
Double Cleft Lip & Palate |
1,761,100 |
|
28/08/04 |
|
28/08/05 |
|
Br. Belawan |
Abian Semal |
Badung |
|
| 311 |
Ni Luh Sirnawati |
15 |
Years |
Female |
01-Sep-04 |
Left side Cleft Lip |
1,696,100 |
01/09/04 |
|
08/06/08 |
|
Br. Yeh emas |
Graggak |
Singaraja |
|
| 312 |
Wayan Swama |
5 |
Months |
Male |
08-Sep-04 |
Left side Cleft Lip & Palate |
1,786,100 |
08/09/04 |
08/07/05 |
08/07/08 |
08/07/11 |
|
Br. Batu Dawa Kaja |
Tulamben |
Karangasem |
|
| 313 |
Km Ayu Trinigini |
1 |
Years |
Female |
09-Sep-04 |
Left side Cleft Lip & Palate |
1,691,100 |
|
09/09/04 |
09/09/08 |
09/09/11 |
|
Br. Suter Abang Batu Ginding |
Kintamani |
Bangli |
|
| 314 |
Wayan Sudarta |
4 |
Years |
Male |
14-Sep-04 |
Double Cleft Lip & Palate |
1,661,100 |
|
14/09/04 |
|
14/09/07 |
|
Br. Pakelem selem Bawak |
Marga |
Tabanan |
|
| 315 |
Bayi Torni |
1 |
Years |
Male |
15-Sep-04 |
Left side Cleft Lip & Palate |
1,714,600 |
|
17/09/04 |
17/09/07 |
27/07/10 |
|
Br. Uma Duwang |
Marga |
Tabanan |
|
| 316 |
Kadek Dwi Cahyadi |
3,5 |
Years |
Male |
14-Sep-04 |
Left side Cleft Lip & Palate |
1,511,100 |
|
14/09/04 |
|
04/09/07 |
|
Jl. Mataram Gg. Kelapa 4 |
|
Denpasar |
|
| 317 |
Km. Ayu Wina Prasanti |
4 |
Months |
Female |
21-Sep-04 |
Left side Cleft Lip & Palate |
1,786,100 |
21/09/04 |
21/07/05 |
21/07/08 |
21/07/11 |
|
Br. Dukuh Kelod Mambang |
Selemadeg |
Tabanan |
|
| 318 |
Wayan Jeri Aditya |
4 |
Years |
Male |
24-Sep-04 |
Double Cleft Lip & Palate |
1,620,600 |
|
24/09/04 |
|
24/09/07 |
|
Br. Apit Yeh |
Baturiti |
Tabanan |
|
| 319 |
I Kadek Hadi Wirawan |
4 |
Years |
Male |
11-Okt-04 |
Double Cleft Lip & Palate |
1,795,600 |
11/10/04 |
|
11/10/07 |
|
Br. Selat |
Abian Semal |
Badung |
|
| 320 |
Ni Luh Setia Marliani |
6 |
Months |
Female |
28-Okt-04 |
Left side Cleft Lip & Palate |
1,801,100 |
28/10/04 |
28/10/05 |
28/10/08 |
28/10/11 |
|
Br. Pasekan Sading |
Mengwi |
Badung |
|
| |
|
|
|
|
|
Total Spending |
509,648,550 |
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