| 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 |
573,532,500 |
|
|
|
|
|
|
|
|
|
|
| 361 |
Komang Rediani |
19 |
Years |
Female |
16-Jun-05 |
Double Cleft Lip & Palate |
524,575 |
16/May/05 |
|
|
Ds. Sinabun |
Sawan |
Singaraja |
|
|
| 362 |
Ketut Arimbawa |
3 |
Years |
Male |
16-Jun-05 |
Double Cleft Lip & Palate |
357,500 |
16/May/05 |
|
|
Ds. Patemon |
Pemaron |
Singaraja |
|
|
| 363 |
Komang Purnawan |
10 |
Months |
Male |
15-May-05 |
Left side Cleft Lip & Palate |
1,800,100 |
15/May/05 |
15/May/06 |
15/Oct/08 |
|
|
Ds. Tihingan Kauh |
Bebandem |
Karangasem |
|
|
| 364 |
Wayan Suparja |
8 |
Months |
Male |
31-May-05 |
Left side Cleft Lip & Palate |
1,800,000 |
31/May/05 |
31/May/05 |
12/Nov/08 |
12/Nov/12 |
|
Br. Blancan |
Kintamani |
Bangli |
|
|
| 365 |
Gst Made Berata |
1 |
Years |
Male |
31-May-05 |
Double Cleft Lip & Palate |
1,790,000 |
|
31/May/05 |
22/May/07 |
22/Feb/11 |
|
Br. Angkan |
|
Klungkung |
|
|
| 366 |
Bayi Santiani/Pt Julia Dewi |
2 |
Years |
Female |
31-May-05 |
Double Cleft Lip & Palate |
1,800,600 |
|
31/May/05 |
8/Feb/07 |
8/Feb/11 |
|
Jl. P. Moyo No. 12 |
Denpasar Selatan |
Denpasar |
|
|
| 367 |
Bayi Wayan Torni |
2 |
Years |
Male |
31-May-05 |
Left side Cleft Lip & Palate |
1,800,000 |
31/May/05 |
|
12/Nov/12 |
|
Br. Umadiwng Batan Nyuh |
Marga |
Tabanan |
|
| 368 |
Luh Putu Oktaviani |
4 |
Months |
Female |
5-Jun-05 |
Left side Cleft Lip & Palate |
1,795,600 |
5/Jun/05 |
5/Jun/06 |
|
5/Jun/10 |
|
Br. Sasih |
Batubulan |
Gianyar |
|
|
| 369 |
Kadek Suartini |
6 |
Years |
Female |
3-Jun-05 |
Left side Cleft Lip & Palate |
1,800,100 |
|
3/Jun/05 |
|
15/Oct/08 |
|
Jl. Jamrud No. 16 |
|
Denpasar |
|
| 370 |
Ida Ayu Suparniati |
1 |
Years |
Female |
7-Jun-05 |
Double Cleft Lip & Palate |
1,805,600 |
7/Jun/05 |
27/Dec/05 |
27/Dec/09 |
27/Dec/12 |
|
Br. Lebah Bukian |
Payangan |
Gianyar |
|
| 371 |
Putu Febi |
6 |
Months |
Female |
20-Jun-05 |
Left side Cleft Lip & Palate |
1,790,000 |
20/Jun/05 |
20/Jun/06 |
22/May/10 |
22/May/13 |
|
Br. Pandak Bandung |
Baturiti |
Tabanan |
|
| 372 |
Km Ayu Wina Prasanti |
1,2 |
Years |
Female |
12-Jun-05 |
Double Cleft Lip & Palate |
1,800,500 |
|
12/Jul/05 |
8/Jul/07 |
8/Jul/11 |
|
Ds. Dukuh Kelod Mampang |
Selemadeg |
Tabanan |
|
| 373 |
Wayan Kasiani |
15 |
Years |
Female |
13-Jun-05 |
Double Cleft Lip & Palate |
1,805,600 |
13/Jul/05 |
|
13/Jul/06 |
|
Br. Angsri |
Baturiti |
Tabanan |
|
| 374 |
Kadek Dwi Septiani |
10 |
Months |
Female |
1-Aug-05 |
Palatoschisis |
1,790,600 |
|
1/Aug/05 |
|
12/Nov/12 |
|
Jl. Tunjung I/6A |
|
Denpasar |
|
| 375 |
Kadek Dwi Septiana |
10 |
Months |
Female |
1-Aug-05 |
Palatoschisis |
1,800,000 |
|
1/Aug/05 |
|
12/Nov/12 |
|
Jl. Tunjung I/6A |
|
Denpasar |
|
| 376 |
Gst Putu Sedana Yoga |
4 |
Years |
Male |
10-Aug-05 |
Double Cleft Lip & Palate |
1,800,000 |
|
10/Aug/05 |
8/Jul/07 |
8/Jul/11 |
|
Br. Beringkit Kaba-Kaba |
Kediri |
Tabanan |
|
|
| 377 |
Wayan Karlos |
1 |
Years |
Male |
18-Aug-05 |
Left side Cleft Lip & Palate |
1,796,100 |
|
18/Aug/05 |
7/May/07 |
7/May/10 |
|
Br. Jasan Sebatu |
Tegalalang |
Gianyar |
|
|
| 378 |
M. Alwaidi |
4 |
Months |
Male |
12-Aug-05 |
Left side Cleft Lip |
1,790,000 |
12/Aug/05 |
|
|
Rembak Sakra |
Selong |
Lombok Timur NTB |
|
|
| 379 |
Agung Pujiana |
4,5 |
Years |
Male |
12-Aug-05 |
Left side Cleft Lip + Palatoschisis Left side Post Labioplasty |
1,800,000 |
|
12/Aug/05 |
|
|
Kuang Derok |
Sakra |
Lombok Timur NTB |
|
|
| 380 |
BQ. Rahman |
11 |
Months |
Male |
12-Aug-05 |
Labioschisis Bilateral |
1,795,000 |
12/Aug/05 |
|
|
Banyu Urip |
Ds. Praya |
Lombok Tengah NTB |
|
|
| |
|
|
|
|
|
Total Spending |
606,774,375 |
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