| A0001 | RIZKIA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0001 | NETY. A. BAKAR | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0001 | JURI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0002 | HABLI ISMAIL | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0003 | ARPANDI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0004 | HIRWAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0005 | YULISTARI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0006 | BENNY SETIAWAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0007 | SOPIAWATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0002 | SJAIFUL ANWAR | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0008 | MURNI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0009 | ROFA AMILIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0010 | SANIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0011 | HERYATI | dr. YOGI YAMANI, SP. B | BPJS | |
| A0002 | MUHAMMAD RAYYAN AL KAHFI | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0003 | IDAR ROWANTI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0012 | SERAWATY | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0013 | TEN DJOEN HEN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0014 | THELENA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0015 | KAMSIAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0016 | AIS DIOME | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0003 | ABINAYA ALEXI RAMADHAN | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0017 | HERI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0018 | CHAIRISA DELWAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0019 | ADELAINA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0004 | ULYAH MARMAYA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0020 | SUGENG HARYADI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0021 | VINA PERMATA SARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0005 | SUTARJO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| D0001 | GUSTI ANWAR | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0022 | TUNUT SUKEMI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0023 | NURHAYATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0024 | NURJANI | dr. YOGI YAMANI, SP. B | BPJS | |
| B0025 | CHINTA HENDRA FRED | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0006 | RINCE | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0007 | QOIRUL ANAM | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0026 | SUPARTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0027 | DARMA TAPSIAH | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0028 | EVIANA | dr. YOGI YAMANI, SP. B | BPJS | |
| C0008 | LATIF KUSWANTO | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0029 | PAINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0009 | SOBRI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0030 | RENY FITRIYANTI | dr. YOGI YAMANI, SP. B | BPJS | |
| D0002 | FIDJERI SABANA | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0010 | MEN FONG | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0011 | SUBAIDAH | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0012 | LIE TJIT SIN | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0031 | TJEN SOEI TJHIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0032 | ANNA ROSMALINA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0033 | TJHANG AI TJHUN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0034 | ABD. MALIK | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0004 | REY YUDITHA ANINDA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| D0003 | SARBILAN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0035 | MARLINA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0036 | YUSNI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0037 | NURDAYANINGTYAS | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0038 | BELLA JUNIANTI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0013 | HARYONO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0014 | UMMIYARI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0039 | MEGA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0040 | SAMIAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0015 | NOFIYANTI HARINI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| A0005 | JUMAINAH | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0041 | ADHA AMANDA PUTRI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0042 | YAZID | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0043 | MASYUMI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0044 | LAI SIN HAK | dr. YOGI YAMANI, SP. B | BPJS | |
| C0016 | TJEW WAN PI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| D0004 | SARONI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0045 | NAWARI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0046 | TONGGO SIMANJUNTAK | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0047 | NURCAHAYA NAPITUPULU | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0048 | TARKIMAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0049 | CICIH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0017 | MITRO | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0050 | KRISDIAN PRATAMA | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| C0018 | FRENDIANTO | dr. GLENN ADIPUTERA TANDIAN, Sp. BS | BPJS | |
| D0005 | SRI ERAWATI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0051 | YUNIKA SEPTIASYA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0019 | SUWANDI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0020 | SARTINA | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0021 | GUNIARTO | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| A0006 | FAAZ YUSUF ALFARIZQI | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0022 | DJIE TJIOK MIE | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| A0007 | DEWI | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0052 | JAP TJOEN HOA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0053 | SITTI DAYA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0054 | PUTRI AMRIANA | dr. YOGI YAMANI, SP. B | BPJS | |
| B0055 | RHOSEWEN EVELYN THE | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0056 | JAMA'IDAH | dr. YOGI YAMANI, SP. B | BPJS | |
| B0057 | ASMAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0008 | LIANA S | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0058 | SAMSURI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0059 | PASTI EFFENDI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0060 | RITA YUSNITA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0023 | LAY TJIE HIUNG | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0061 | OSFITA SAFITRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0062 | BAMBANG SUBEKTI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0063 | ABDUL SYAKIR | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0064 | ADAR FITRIANI | drg. F.X. DODDY SETIAWAN, Sp. Perio | BPJS | |
| C0024 | HERMANUDIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0025 | LIM SIUW KIUN | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0065 | EDRIYANTO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0066 | MOEK SEN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0067 | AIDI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0068 | ASTUTI NINGSIH | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0069 | LIM MIE TJE | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0026 | PARNIA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0070 | NORI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0071 | SAEBO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0072 | ANGEL CAROLINECIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0027 | M. ARAS | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0073 | M. AMIN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0009 | MELLIZAH BETSI HOSANA FILEMON | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0074 | MAGDALENA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0006 | FIRLI JUMIANTO | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| D0007 | EVERA | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0028 | NURFENDI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0075 | JUNURIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0076 | KOMARUDIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0010 | NGIT BIE | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0077 | TJHIN SUI KHIUK | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0078 | INDRIANI | dr. NOVIA NASIR, Sp. M | BPJS | |