| C0001 | HENDERA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0002 | SUHARNI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0003 | NETY. A. BAKAR | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0004 | KURAYSIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0001 | SUPARNO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0002 | ELDY ASIKIN MC | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0003 | LIM JE LI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0004 | DWI ERYANA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0005 | LEREZAM | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0006 | FITA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| D0001 | AZHAR BURHANUDIN | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0007 | NURYANI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| D0002 | SITI ASMAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0005 | HENGKY IRAWAN | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0008 | BUDHI KRISTIANTO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0009 | AMINAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0010 | UJANG RISMAN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0006 | BAMBANG ARISADEWO | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0007 | SUTARJO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0011 | YATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0008 | MULKAN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0009 | ZAINUDDIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0012 | YULISA ARYANI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0010 | SAK FAT | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0013 | SIN HO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0014 | IDEWI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0015 | MARIANI | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0016 | HENDRI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0017 | ERNA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0011 | HIKMAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0012 | AIRIA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0018 | SAMI RAHAYU | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | Resep Sedang Dientry |
| D0003 | IRPANSAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0013 | SUNGDJONO JULIAS, SH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | Sedang Disiapkan Oleh Apotek |
| B0019 | NG NONI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0020 | WINDA LISTARY | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0014 | ZAHARI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0021 | TATIK HARLINAWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0022 | YULINA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0023 | SANIRAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0015 | RENY ROSMAIDA TAMBUNAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0016 | FEBRINA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0017 | MASTURA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0024 | FITRILIA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0025 | PUSPITASARI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0018 | MOE SIOE KIOEN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0019 | DESI SUSANTIA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0026 | RISKI TRI ANANDA | dr. YOGI YAMANI, SP. B | BPJS | |
| B0027 | JUNURIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0028 | ROBIAH | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0029 | KAHLA SAAHIRAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0030 | SUSANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0031 | TJOENG KIE NGIAN | dr. YOGI YAMANI, SP. B | BPJS | |
| B0032 | LUSIA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0033 | TJHIN SUI KHIUK | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0004 | TJHIN SOEN FOEI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0020 | IDA HAYATI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0021 | RAHMAT | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0034 | NARYANI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0022 | SAMSU | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | Resep Sedang Dientry |
| B0035 | HERMANSYAH | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0036 | MINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0023 | MARASI MARBUN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0037 | SAHIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0038 | JANUAR ARI SANDI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0039 | LINDAWATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0005 | MUK SUI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0040 | MANISA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0041 | LELY ALINAVALY | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| D0006 | WAGIYO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0042 | ANISAH | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0043 | ERNIJANTY THERISITHA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0024 | MUHAMMAD AL-FATIH | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0025 | LIOE NJUN TJOE | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0044 | TIARA DEWI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0045 | MURANI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0046 | DJAP NGIT SUNG | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0047 | KUSMANTO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0048 | WARIKA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0026 | PARTI BINTI DADI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0049 | SELLY ULANDARI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0027 | SRI WACHYU HARIYANTHIE | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0050 | HARTONO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0028 | JUMAILA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0051 | NORPA MINARTI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | Sedang Disiapkan Oleh Apotek |
| B0052 | YURIKO PARMADI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0053 | SITI AMINAH | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0054 | SENI AGUSTINI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0055 | MUI HO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0056 | SITI SUBAIDAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0057 | PURNAWIASA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0029 | AKBAR PRAYOGA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0058 | KAMSIAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0059 | HERRY MARZAIDI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0030 | AHFRIN LIANDO JATI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0060 | LEZKY HAICHAL MUJADID | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0061 | DEWI LESMANA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0062 | WANTI MARYANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0063 | ENDANG PURWANINGSIH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0031 | SOFYAN TAMBA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | Sedang Disiapkan Oleh Apotek |
| B0064 | SATRINA | drg. F.X. DODDY SETIAWAN, Sp. Perio | BPJS | |
| C0032 | UMAR HADI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | Sedang Disiapkan Oleh Apotek |
| B0065 | ASIAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0033 | TJHAU SIN LOI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0066 | SRI RIASARI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0001 | RIMA APRIANTI | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| B0067 | SYAMSIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0068 | MIHA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0069 | PHOENG MIE LON | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0034 | WIJIATI | dr. LINGGAWATI, Sp. THT | BPJS | |
| D0007 | ASTHINA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0035 | NG LIAN MOEIJ | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0070 | WIRDA WATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | Resep Sedang Dientry |
| A0002 | FANITA ERYANI | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| C0036 | HARI RUSTEDI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0037 | OKTARINA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0071 | MEIGI FITRA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0072 | LATIF KUSWANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0073 | MARJUKI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0008 | SUBARI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0038 | AMRIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0074 | ASBULLAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0039 | DANTI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0075 | SYAMSIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0003 | SUMARNI | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| C0040 | ROVIGO NAPITUPULU | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| ACHMAD NAWAWI. AM | dr. DAMERIA HASTARI, Sp. PD | BPJS | Resep Sedang Dientry |
| B0076 | TJHIA HIAN MOI | dr. YOGI YAMANI, SP. B | BPJS | |
| ALFIANTO | dr. DAMERIA HASTARI, Sp. PD | BPJS | Resep Sedang Dientry |
| ZUMRONI SUHAILI | dr. DAMERIA HASTARI, Sp. PD | BPJS | Resep Sedang Dientry |
| AISYAH SIDIKKA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0077 | FAKHRI AKHDAN PRAYATA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| TERIA JOHAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | Resep Sedang Dientry |
| PO KHIONG | dr. DAMERIA HASTARI, Sp. PD | BPJS | Resep Sedang Dientry |
| ERLAN FIRLIKA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| SEPRIANTONO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| TRI NOVIANSYAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| DJIE KIM SIOE | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| DIRA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| SIOE PO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0041 | KARDUNI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| A0004 | NADIA AFIFAH ZAHRA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0078 | JULIANTO HENRY DHARMA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| D0009 | ANDI ROHANA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0082 | HISAR SEREGAR | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0043 | LATIFAH. HR | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0086 | ASWAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0011 | ASNAWI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| D0012 | KASIRA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0047 | EDDY KURNIAWAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0048 | JANTI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | Sedang Disiapkan Oleh Apotek |
| B0087 | ANISAH | dr. YOGI YAMANI, SP. B | BPJS | |
| D0013 | JAMANI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| A0007 | MUHAMMAD ZAFRAN XAVIER AL FATIH | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0088 | TIARA DEWI | dr. YOGI YAMANI, SP. B | BPJS | |
| JAMHIRUDIN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0042 | SURLIANDI | dr. DHIETO BASUKI PUTRA, Sp.KFR | BPJS | |
| HERRY | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0046 | SUMARSUKI | dr. DHIETO BASUKI PUTRA, Sp.KFR | BPJS | |
| B0085 | ARNIAH | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| NADIA SEPTIA RINI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0051 | ROHANA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| GUSRIDAWATI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0049 | YUSBAIDAR | dr. DHIETO BASUKI PUTRA, Sp.KFR | BPJS | |
| ELVIA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0050 | YUSTINAH TJOENG | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| HIDAYAT | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| D0014 | FITRIA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0089 | WULANDHARI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | Sedang Disiapkan Oleh Apotek |
| C0052 | IRZAMI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0091 | MUHAMMAD ARSYA ALFARISKI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0092 | DALI MARDALENA | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0016 | WISESA HANIF WICAKSONO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0093 | LUSIA | dr. YOGI YAMANI, SP. B | BPJS | |
| C0054 | MUHAMMAD ARSYA ALFARISKI | dr. DHIETO BASUKI PUTRA, Sp.KFR | BPJS | |
| C0053 | IRWANTI | dr. DHIETO BASUKI PUTRA, Sp.KFR | BPJS | |
| B0094 | LISTA ANIYANTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0095 | EDI SUPERI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0096 | EVI RUSMIANTI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0058 | TEJA LAKSANA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0097 | NORI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0059 | RUSNAN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0098 | YOHANES KHO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | Sedang Disiapkan Oleh Apotek |
| A0008 | MUHAMMAD ZHAFRAN RAYYAN | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0046 | DJAP NGIT SUNG | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0055 | AIDA | dr. DHIETO BASUKI PUTRA, Sp.KFR | BPJS | |
| B0079 | MARVEL ADITYA | drg. RETNO JAKA UMBARA, Sp. Ort | UMUM | |
| A0006 | RAHMA FITRIANA | dr. FADHILAH IHSANI, Sp.A | UMUM | |
| C0044 | TJHIN SIU TJIAN | dr. LINGGAWATI, Sp. THT | UMUM | |
| B0083 | HENNY WATI | dr. MEILANO ROBINSYAH, Sp. PD | UMUM | |
| D0010 | IRAHAB | dr. MEILANO ROBINSYAH, Sp. PD | UMUM | Sedang Disiapkan Oleh Apotek |
| B0081 | GEBI KIRANA PUTERI | drg. MUTIA AULIANY, Sp. B. M | UMUM | |
| B0080 | VALENCIA SAVA SABRINA | drg. RETNO JAKA UMBARA, Sp. Ort | UMUM | |
| C0045 | RUPI'AH | dr. MUHAMMAD TANZIL | UMUM | |
| D0015 | SIN HIONG | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | UMUM | |
| B0090 | TOREZ ZABIELA ABADA | dr. YOGI YAMANI, SP. B | UMUM | |
| A0009 | FLORA MELITA MALA SARI | dr. FADHILAH IHSANI, Sp.A | UMUM | |