| 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 |
509,648,550 |
|
|
|
|
|
|
|
|
|
|
| 321 |
Kadek Pariawan |
2 |
Years |
Male |
29-Oct-04 |
Left side Cleft Lip & Palate |
1,791,100 |
29/10/04 |
29/10/05 |
29/10/06 |
29/10/09 |
|
Br. Apuan Kaja |
Susut |
Bangli |
|
|
| 322 |
I Nengah Suare |
2 |
Years |
Male |
29-Oct-04 |
Double Cleft Lip & Palate |
1,761,100 |
|
29/10/04 |
|
14/09/07 |
|
Br. Subaya |
Kintamani |
Bangli |
|
|
| 323 |
I Nyoman Asih |
13 |
Years |
Female |
29-Oct-04 |
Left side Cleft Lip & Palate |
1,679,600 |
|
29/10/04 |
27/07/07 |
|
Br. Tanah Daa |
Kintamani |
Bangli |
|
|
| 324 |
Ni Luh Juliantini |
3 |
Years |
Female |
29-Oct-04 |
Double Cleft Lip |
1,801,100 |
|
29/10/04 |
29/10/07 |
29/10/10 |
|
Br. Batu Gambir |
Tejakula |
Buleleng |
|
|
| 325 |
I Made Wilase |
13 |
Years |
Male |
01-Nov-04 |
Left side Cleft Lip & Palate |
1,816,100 |
|
01/11/04 |
|
Br. Bukit Semi |
Semiran |
Buleleng |
|
|
| 326 |
Ketut Widiadnyana |
4 |
Years |
Male |
05-Nov-04 |
Double Cleft Lip & Palate |
1,765,600 |
|
05/11/04 |
|
11/11/07 |
|
Br. Dawan Kaler |
|
Klungkung |
|
|
| 327 |
Putu Patmawati |
2 |
Years |
Female |
01-Nov-04 |
Double Cleft Lip & Palate |
1,801,100 |
|
11/Jan/04 |
14/Nov/07 |
14/Nov/10 |
|
Br. Sukawana |
Kintamani |
Bangli |
|
| 328 |
Nyoman Winasih |
1,5 |
Years |
Female |
12-Nov-04 |
Double Cleft Lip |
1,766,100 |
|
11/Dec/04 |
11/Dec/07 |
11/Dec/12 |
|
Br. Tegal Crama |
Sangeh |
Badung |
|
|
| 329 |
Kadek Agus Wiguna |
1,5 |
Years |
Male |
17-Dec-04 |
Left side Cleft Lip & Palate |
1,766,100 |
|
17/Dec/04 |
17/Dec/07 |
17/Dec/10 |
|
Br. Sema Semita |
|
Gianyar |
|
| 330 |
Putu Widya Utami |
3 |
Months |
Female |
24-Dec-04 |
Left side Cleft Lip & Palate |
1,791,100 |
24/Dec/04 |
29/Oct/05 |
29/Oct/06 |
29/Oct/09 |
|
Br. Sambling Yeh Sumbu |
Mendoyo |
Jembrana |
|
| 331 |
Teguh Kusuma Wijaya |
3 |
Months |
Male |
27-Dec-04 |
Left side Cleft Lip & Palate |
1,785,600 |
27/Dec/04 |
27/Dec/05 |
27/Dec/09 |
27/Dec/12 |
|
Br. Karang Suung |
Sading |
Mengwi |
|
| 332 |
Kadek Wahyu Aditya Putra |
3 |
Months |
Male |
28-Dec-04 |
Left side Cleft Lip |
1,796,100 |
28/Dec/04 |
28/Dec/05 |
11/Dec/10 |
11/Dec/13 |
|
Br. Tingas Mekarbuana |
Sukasada |
Buleleng |
|
| 333 |
Putu Eva Yuliantini |
7 |
Years |
Female |
03-Jan-05 |
Double Cleft Lip & Palate |
1,741,100 |
|
1/Mar/05 |
1/Mar/07 |
1/Mar/10 |
|
Br. Tegal Linggah |
Sukasada |
Buleleng |
|
| 334 |
Rodiah |
19 |
Years |
Female |
07-Jan-05 |
Left side Cleft Lip & Palate |
1,775,600 |
1/Jul/05 |
|
27/Jul/07 |
|
Jl. Gunung Batok IV/15 |
|
Denpasar |
|
| 335 |
Gst Ngr Suarditayasa |
1 |
Years |
Male |
20-Jan-05 |
Left side Cleft Lip & Palate |
1,761,100 |
20/Jan/05 |
|
|
Br. Kembang Sari |
Kintamani |
Bangli |
|
| 336 |
Ni Wayan Putu |
3 |
Months |
Male |
20-Jan-05 |
Left side Cleft Lip & Palate |
1,781,100 |
20/Jan/05 |
20/May/06 |
20/May/08 |
20/May/11 |
|
Br. Pitpit |
Abang |
Karangasem |
|
| 337 |
Susila Darma Putra |
4 |
Months |
Male |
01-Feb-05 |
Left side Cleft Lip |
1,796,100 |
2/Jan/05 |
28/12/06 |
11/Dec/14 |
11/Dec/14 |
|
Br. Tangga Yuda, Bongkasa |
Abian Semal |
Badung |
|
| 338 |
Ida Ayu Komang Sanjiwani |
4 |
Months |
Male |
02-Feb-05 |
Left side Cleft Lip & Palate |
1,791,100 |
2/Feb/05 |
2/Jun/05 |
1/Mar/09 |
1/Mar/12 |
|
Ds. Melinggih |
Payangan |
Gianyar |
|
| 339 |
Kadek Indranata |
1 |
Years |
Male |
07-Feb-05 |
Left side Cleft Lip & Palate |
1,651,100 |
|
2/Jul/05 |
20/May/08 |
20/May/11 |
|
Br. Pande |
|
Bangli |
|
| 340 |
Kusuma Cahyaningrum |
1 |
Years |
Male |
08-Feb-05 |
Left side Cleft Lip & Palate |
1,611,100 |
|
2/Aug/05 |
2/Aug/08 |
2/Aug/12 |
|
Br. Cawu Blayu |
Marga |
Tabanan |
|
| |
|
|
|
|
|
Total Spending |
544,877,550 |
|
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