| 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 |
843,172,275 |
|
|
|
|
|
|
|
|
|
| 501 |
Mohamad Firman |
2.5 |
Years |
Male |
20-Dec-06 |
Left Cleft Lip & Palate |
1,921,500 |
|
|
20/Dec/09 |
|
|
|
|
Lombok Barat NTB |
|
| 502 |
Helmi |
2 |
Years |
Female |
19-Dec-06 |
Left Cleft Lip & Palate |
1,904,000 |
|
19/Dec/09 |
|
|
Slodong Buwun Mas
Sekotong |
Lombok Barat NTB |
|
| 503 |
Salman |
2 |
Years |
Male |
19-Dec-06 |
Right Cleft Lip & Palate |
1,893,500 |
|
19/Dec/09 |
|
|
Sayong Baru Sekotong
Tengah |
Lombok Barat NTB |
|
| 504 |
Kadek Aryani Asih |
7 |
Months |
Female |
21-Dec-06 |
Double Cleft Lip & Palate |
1,937,000 |
|
21/May/07 |
|
|
Br. Yeh Satang Yeh Sumbu |
Negara |
|
| 505 |
Dita Ariayana |
6 |
Months |
Male |
21-Dec-06 |
Left Cleft Lip & Palate |
1,892,500 |
|
21/Jun/07 |
|
|
Br. Buna Jimbaran |
|
Kuta Badung |
|
| 506 |
Kariasa Widada |
6 |
Months |
Male |
21-Dec-06 |
Right Cleft Lip & Palate |
1,871,500 |
|
21/Jun/07 |
|
|
Dusun Abang |
|
Karangasem |
|
| 507 |
Kadek Mahardika Putra |
6 |
Months |
Male |
29-Dec-06 |
Right Cleft Lip & Palate |
1,796,500 |
|
29/Jun/07 |
|
|
Br. Bantas Kelod Sibang Gede |
Abian Semal |
BAdung |
|
| 508 |
Gusti Ngurah Juliawan |
5 |
Months |
Male |
28-Dec-06 |
Left Cleft Lip & Palate |
1,846,500 |
|
28/Jul/07 |
|
|
Br. Pemuhunan Muncan |
Selat |
Karangasem |
|
| 509 |
Wayan Sila |
6 |
Months |
Male |
22-Dec-06 |
Double Cleft Lip & Palate |
1,901,500 |
|
22/Jun/07 |
|
|
Br. Wira Buana Suka Sada |
Singaraja |
|
| 510 |
Kahui |
6 |
Months |
Male |
22-Dec-06 |
Double Cleft Lip & Palate |
1,871,500 |
|
22/Jun/07 |
|
|
Br. Yeh Biyu Pates
Grokgak |
Singaraja |
|
| 511 |
Kadek Andika Putra |
1.6 |
Years |
Male |
15-Jan-07 |
Double Cleft Lip & Palate (2 times operation) |
2,937,500 |
|
15/Jan/12 |
|
Dusun Iseh Sinduwati
Sideman |
Karangasem |
|
| 512 |
kadeK Suartini |
7 |
Years |
Female |
8-Jan-07 |
Right Cleft Lip & Palate |
2,516,500 |
|
8/Jan/12 |
Jl. Jamrud No.16 Ubung |
|
Denpasar |
|
| 513 |
Komang Yudiantara |
4 |
Years |
Male |
8-Jan-07 |
Right Cleft Lip & Palate |
1,871,500 |
|
9/Jan/10 |
|
Br. Penopengan Sanur |
|
Denpasar Selatan |
|
| 514 |
I Gusti Ayu Gita Dwi Parwati |
4 |
Years |
Male |
19-Jan-07 |
Palatoshisis |
1,803,000 |
|
20/Jan/09 |
|
|
Jl.Balam No. 16
Cakranegara |
Lombok |
|
| 515 |
Nengah Merta Dana |
12 |
Years |
Male |
15-Jan-07 |
Double Cleft Lip & Palate |
3,003,000 |
|
15/Jan/10 |
|
Dusun Klakat Batu Dinding |
Kintamani |
|
|
| 516 |
Nuraeni |
11 |
Years |
Female |
19-Jan-07 |
Palatoplasty |
1,866,000 |
|
19/Jan/08 |
|
|
Tanak Tepong Narmada |
|
Lombok Barat NTB |
|
| 517 |
Wayan Jatmika |
4 |
Years |
Male |
15-Jan-07 |
Double Cleft Lip & Palate |
2,843,000 |
|
15/Jan/10 |
|
Ds. Kelakat Abang Batu Dinding |
Kintamani |
|
|
| 518 |
Tami Dian Pratiwi |
2 |
Years |
Female |
25-Jan-07 |
Double Cleft Lip & Palate |
1,961,500 |
|
25/Jan/12 |
|
Perum Taman Griya Blok CI |
Nusa Dua |
|
| 519 |
Opiani |
7 |
Years |
Female |
16-Jan-07 |
Double Cleft Lip |
2,092,000 |
|
19/Jan/08 |
|
|
Gangga Tanjung |
|
Lombok Barat |
|
| 520 |
Hail Azmi |
3 |
Years |
Male |
16-Jan-07 |
Labioshisis |
2,011,500 |
|
|
16/Jan/10 |
|
|
Gunung Sari Lembar |
|
Lombok Barat |
|
| |
|
|
|
|
|
Total Spending |
884,913,775 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|