| B0001 | SUSANA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0001 | KHM SALEH RUSDI MATTJIK | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0002 | SU'ADAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0003 | AMRI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0004 | NURLENA NASUTION | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0005 | TJONG TET FOE | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0002 | MUHAMMAD AL KAHFI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0006 | SUHARMIN | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0003 | QUINN INDIRA SURIADI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0004 | SIGIT HERIYANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0001 | VELLA NOVELIA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0005 | EDI BURDIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0006 | ASMAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0007 | RUDY AJI BUDIANA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0008 | HERPENI JANUARTI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0009 | ERNA RITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0010 | SABYLA MAYANG SARI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0011 | SAFIRA AMELIANA PUTRI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| A0002 | KENZIE AZKA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0012 | SUSANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0003 | ANISA RUKMANASARI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0013 | JOELCEY VELVETA RAVENNELI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0014 | DIKKI ZULKARNAEN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0015 | INDRI YOHANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0001 | WIRNA OKTARINA | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0016 | DAISY ROSSANDRA SITOMPUL | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0002 | BUDI HERMAN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0017 | EDHA SETIANINGTIAS | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0018 | EKA SUMANTRI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| A0004 | INDAH WILASTRI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0019 | ZEFRIE YU HAKIM | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0020 | SITI HUMAIROH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0021 | PUTRI MUSYARIFAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0007 | RIFKY AULIA WAHYUDI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0022 | TARIZA NOVITRI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0023 | RATU ZAHSY APRILIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0024 | PAIMIN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0008 | NYOEK SIAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0009 | RATNA SARI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0025 | ALIKA NATANIA KAMILA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0026 | LIONG A LIE | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0010 | RENNIAR | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0011 | ATHAYA TALITHA AURYN | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0012 | ARI SOFYAN | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0013 | NOVITRIANA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0027 | RINA KURNIATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0028 | DETA LARASSATY | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0029 | SARIPA AINI LUBIS | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0030 | MUHAMAD ALFAN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0031 | AQILA ALIYA CHANDRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0032 | M JORDY ALSYAHBAN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0033 | MONICA AORORA CENDRA PUTRI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0034 | RENY ROSMAIDA TAMBUNAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0014 | RINDA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0035 | HENDRI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0036 | GUNI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0037 | TJHANG NGIT NIE | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0038 | ROZIKA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0039 | NG MIE JOEN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0015 | RUSMINI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0040 | HERLINDA PRASTIKA, LIM | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| A0005 | JURIAH | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0041 | JUNIAR | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0006 | HILZAZ AZELO | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0042 | AGUNG PRABOWO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0043 | RINI SUCI ANGGRAENI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| A0007 | ANDRE SANJAYA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0008 | ANDRE SANJAYA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0009 | ANDRE SANJAYA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| D0003 | HASAN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0044 | FANI AFNAN JANNATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0045 | AKHMAD JONIMAN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0046 | AZIZAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0047 | AMINAH | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0048 | MITA SEPTIARI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0049 | HANIF ABDULLAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0010 | ALFIKA FALTDILA RIZKY PUTRI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0050 | M. FEBRY ALLDIANSYAH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0051 | JONI ISKANDAR | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0011 | YULIANA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0052 | FAIZAH SUFNAWATI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0053 | ROSNA | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0054 | ROFA AMILIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0055 | SUTRISNO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0056 | NURUL AISYAH | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |