| B0001 | RAYES AKBAR | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0002 | YUNITA | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0003 | IDEWI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0004 | DWI FITRI JUNIARTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0005 | YESI SUSIANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0006 | CHANDRA LASITE | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0001 | SUHARNI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0007 | BONG HIAP DJIE | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0008 | ANSORI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0002 | LIAUW MEN LIE | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0003 | ZAHARI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0009 | ANDETA NURJANAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0010 | WENNY JUMINAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0011 | META PRATIWI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0012 | FATMAWATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0013 | TJEN NAM PI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0014 | TJOENG KHIN NA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0015 | ROSYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0016 | SULASTRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0004 | H.MUHAMMAD YAMIN YAMAN | dr. SHENY AGMA, Sp. N | BPJS | |
| B0017 | ROFII ULUMUDIN | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0018 | KUSMIATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0019 | YUNI PUSPITA SARI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0005 | RIZAL | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0006 | SIONG KHIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0007 | AMIR INAN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0020 | LIKO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0001 | AMOI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0021 | MUHAMMAD KAIVAN ABDAR | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0008 | FITRIANA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0009 | TJHIE DJUN LAI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0010 | SUTARJO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0011 | ROSMALA DEWI | dr. SHENY AGMA, Sp. N | BPJS | |
| D0002 | ROSWITA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0022 | LUNDU TAMPUBOLON | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0012 | BAMBANG ARISADEWO | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0023 | SITI SUDIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0001 | MONICHA DWI TAMARA | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| D0003 | TONO SLAMET | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0024 | WAGIRAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0013 | MARLINA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0014 | NURSALIM | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| A0002 | MUHAMMAD LUTHFI AL MIQDAD | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0015 | HENDERA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0025 | BENNY SETIAWAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0026 | FATMAWATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0027 | WARSID | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0016 | SRI RAHAYU | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0017 | TASTRIAMAN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0018 | RISA RUSMANA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0028 | MUSTARI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0029 | JENISYA PRICILIA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0030 | JENISYA PRICILIA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0019 | SOBRI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0031 | LOVIA UFAIRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0032 | QISYAH YURI ARTANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0020 | DJAP MUK NA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| D0004 | INDRIO DAPIT PRATAMA PUTRA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0033 | SINAR GUSTI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0034 | SUSANTI WATTY | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0035 | BADRIYAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0036 | MULJASUI WATTY | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0037 | MITA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| A0003 | FITRIANI | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| B0038 | SAIPUL BADRI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0039 | LULU DWI RACHMA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0021 | RASIDI FARIZAL | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0040 | MARDALENA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0041 | RIEZKY PRATAMA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0022 | WAHYUNI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0023 | BONG SIN WAY | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0024 | YENI OKTAVIANA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0042 | MOHAMMAD KHADAVY PRARONA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0004 | NAYLA AL MAHYRA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0043 | HASMULYANA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0025 | JELI HAMDANI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0026 | MARIA MAGDALENA INTJE | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0044 | SUKURDI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0027 | ANDIKA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0045 | ELLYANA INTAN NINGTYAS | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0046 | YANTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0047 | RINI ANGGANITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0048 | DAVID HANDERSON | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0049 | LINDAWATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0005 | BUN KHAI KHIONG | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0028 | ELIS SUMARYANI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0050 | TOHA BUDI PUTRI SUBAKTI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0051 | SUPRATMAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0052 | DARLIAWATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0053 | MUHAMMAD DHIETO ABHIZARD RASYID | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0029 | ENY SUDARYATUN | dr. SHENY AGMA, Sp. N | BPJS | |
| B0054 | F A R I D A | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0055 | SINTA PUTRI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0056 | JESSICA AULIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0030 | LATIFAH. HR | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0031 | MURPRIANTO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0032 | ELIA RITA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0057 | WIN AGUSTINA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0058 | YUNIZAR R. | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0059 | HERLIANA, S.PD | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0033 | SUKARSIH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0060 | OKI ANDI PARANATA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0061 | ELLINDARA GUSTIARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0034 | ZURLI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0035 | ERNAWATI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0062 | ELMIAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0036 | MISNGATUN | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0037 | RULIA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0038 | FETTY VEBRIOLA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0063 | ROAINA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0064 | RISQI ANGGELA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0039 | HARTATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0065 | HARTATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0066 | YULINA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0067 | DAVID HANDERSON | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0068 | MARYAM | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0040 | ERA PEBRIYANI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0069 | SAINEM | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| D0006 | HAMZAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0070 | HENNY PURWANTI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| A0005 | SURYANA | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| C0041 | FIKRI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0071 | RAPILIONA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0072 | RANI | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0073 | SANTI PURNAMA SARI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0074 | MUJIATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0075 | ERNI SUSANTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0076 | DARMA TAPSIAH | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0077 | BALOK | dr. NOVIA NASIR, Sp. M | BPJS | |