| 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 |
544,877,550 |
|
|
|
|
|
|
|
|
|
|
| 341 |
Made Adi Karya |
3 |
Months |
Male |
02-Feb-05 |
Left side Cleft Lip & Palate |
1,791,100 |
|
2/Feb/05 |
1/Feb/09 |
1/Feb/12 |
|
Br. Bude Ireng |
Batu Bulan - Sukawati |
Gianyar |
|
|
| 342 |
Bayi Ekawati |
1 |
Years |
Female |
15-Feb-05 |
Left side Cleft Lip |
1,676,100 |
|
15/02/05 |
11/Dec/06 |
11/Dec/14 |
|
Br. Pande Sari |
Bebandem |
Karangasem |
|
|
| 343 |
Ketut Semara Putra |
3 |
Years |
Male |
17-Feb-05 |
Left side Cleft Lip & Palate |
1,785,100 |
17/Feb/05 |
17/Dec/05 |
|
17/Jul/01 |
|
Br. Kaleran |
Yeh Embang |
Negara |
|
|
| 344 |
Nita Kurniawati |
5 |
Years |
Female |
15-Feb-05 |
Left side Cleft Lip |
1,656,100 |
|
15/Feb/05 |
12/Nov/06 |
12/Nov/14 |
|
Br. Tegal Cantel |
Yeh Embang |
Negara |
|
|
| 345 |
Wayan Eka Budiyasa |
14 |
Years |
Male |
01-Mar-05 |
Left side Cleft Lip & Palate |
1,816,100 |
|
1/Mar/04 |
1/Mar/04 |
|
Jl. Naga Sari |
Penatih |
Denpasar |
|
|
| 346 |
Putu Suardana |
1 |
Years |
Male |
22-Feb-05 |
Left side Cleft Lip & Palate |
1,651,100 |
|
22/Feb/05 |
22/May/08 |
22/May/11 |
|
Br. Selasih Tengah |
Selemadeg |
Tabanan |
|
|
| 347 |
Indra Samego |
1 |
Years |
Male |
02-Mar-05 |
Left side Cleft Lip & Palate |
1,641,100 |
2/Mar/05 |
2/May/05 |
8/Feb/08 |
8/Feb/12 |
|
Br. Sengkidu |
Manggis |
Karangasem |
|
| 348 |
Ni Made Risa Andriani |
1 |
Years |
Female |
18-Mar-05 |
Left side Cleft Lip & Palate |
1,800,100 |
28/Mar/04 |
28/Oct/05 |
28/Oct/08 |
|
|
Br. Delod Pangkung |
Budeng |
Negara |
|
|
| 349 |
Km Arista Wisnawa |
1 |
Years |
Male |
05-Apr-05 |
Left side Cleft Lip |
1,800,000 |
|
5/Apr/05 |
12/Nov/08 |
12/Nov/12 |
|
Br. Gulingan |
Mengwi |
Badung |
|
| 350 |
Iklas Gemilang |
1 |
Years |
Male |
04-Apr-05 |
Double Cleft Lip & Palate |
1,800,500 |
2/Apr/05 |
2/May/06 |
8/Feb/08 |
8/Feb/12 |
|
Jl. Swakarya Baru No. 27 |
|
Denpasar |
|
| 351 |
Putu Arta Sedana |
1 |
Years |
Male |
07-Apr-05 |
Right Cleft Lip & Palate |
1,800,600 |
7/Apr/05 |
|
22/May/08 |
22/May/11 |
|
Br. Karya Darma |
|
Karangasem |
|
| 352 |
Iklas Gemilang Septiawan |
1 |
Years |
Male |
08-Apr-05 |
Double Cleft Lip & Palate (second operation) |
1,800,100 |
8/Apr/05 |
28/Oct/05 |
28/Oct/08 |
|
|
Br. Sengkidu |
Manggis |
Karangasem |
|
| 353 |
Indra Samego |
1 |
Years |
Male |
26-Apr-05 |
Double Cleft Lip & Palate |
1,800,000 |
|
26/Apr/05 |
12/Nov/08 |
12/Nov/12 |
|
Br. Sengkidu |
Manggis |
Karangasem |
|
| 354 |
Kadek Purnama Dewi |
5 |
Years |
Female |
03-May-05 |
Double Cleft Lip & Palate |
1,790,000 |
|
3/May/05 |
22/May/07 |
22/May/11 |
|
Br. Kroya Gg. Kroya No.1 |
|
Denpasar |
|
| 355 |
Nym Teja Abdi Gunawan |
5 |
Months |
Male |
03-May-05 |
Left side Cleft Lip & Palate |
1,800,500 |
3/May/05 |
3/May/06 |
8/Feb/07 |
8/Feb/11 |
|
Br. Kelau Palahan |
Pupuan |
Tabanan |
|
| 356 |
Agustina |
3 |
Years |
Female |
16-Jun-05 |
Left side Cleft Lip & Palate |
357,500 |
16/May/05 |
|
|
Br. Bunut Panggang |
Kaliasem Banjar |
Singaraja |
|
|
| 357 |
Putu Suarniti |
3,9 |
Years |
Female |
16-Jun-05 |
Double Cleft Lip & Palate |
518,175 |
16/May/05 |
|
|
Br. Lokapaksa |
Pamesan |
Singaraja |
|
|
| 358 |
Gd Veri Setiawan |
5,5 |
Years |
Male |
16-Jun-05 |
Right Cleft Lip & Palate |
420,675 |
16/May/05 |
|
|
Ds. Patemon |
Apit Yeh |
Singaraja |
|
|
| 359 |
Ketut Putra |
8 |
Years |
Male |
16-Jun-05 |
Left side Cleft Lip & Palate |
431,925 |
16/May/05 |
|
|
Ds. Patemon |
Pamesan |
Singaraja |
|
|
| 360 |
Dw Nym Sabtuawan |
9 |
Years |
Male |
16-Jun-05 |
Left side Cleft Lip & Palate |
518,175 |
16/May/05 |
|
|
Ds. Mayong Br. Dinas |
Seririt |
Singaraja |
|
|
| |
|
|
|
|
|
Total Spending |
573,532,500 |
|
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