| B0001 | ERTATI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0002 | HJ. MARYANI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0001 | ULYAH MARMAYA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0003 | YULIANTI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0002 | ERNI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0003 | KISMAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0004 | SUPRAPTI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0004 | RIZAL TULSOLIHIN | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0005 | HERNITHA SEKARWATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0001 | QUEENBY MEINA FERIZQIA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0006 | MARINI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0007 | LIVIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0005 | FATIMAH | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0006 | FANI IHSANI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0007 | ERWIN | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0008 | RIDUAN | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0009 | DIENA KURNIATY | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0010 | HADI SUNOTO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0011 | SULASTRI POLLATU | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0008 | ABDUL MUN'IM | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0009 | NURSALIM | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0010 | RAHMI NURHALIZA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0012 | LUTHFIA AZ ZAHRA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0011 | PANI PRONIKA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| A0002 | MAEZURA HANUM NUSAIBAH | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| FATA MARGANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| SARIDAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| SULAIMAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| VELLISIA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| TJEN DJAT MOIJ | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| MIRA TARINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| KUSRINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0012 | ERWIN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| DIAN FAJARIA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| MAIMUNAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| SIOE PO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| SUGIANTO. S | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| LASMARIA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| SUDIRMAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| FITRI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| EDI SISWANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| MASITOH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| TJHIN A DJAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| TJUNG KHIN SET | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| YUSNARYATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| SUSI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| SUYANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| ALDINO ICA RAHMAWAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |