| B0001 | ASMAYATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0001 | CHEALSY XENA AUDREY PHINTA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0002 | SYAHRIAL | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0002 | MARTINA | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0003 | DWI ERYANA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0003 | RINA KURNIATI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0004 | ABDUL KUMIT | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0004 | SUNOTO TJENDROJOYO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0005 | STEVEN WIJAYA HUTABARAT | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0006 | LIE NJUK KHUN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0005 | SIGIT HERIYANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0006 | MANSUR | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0007 | RINA KURNIATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0008 | NOVELIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0007 | SUKIRNO | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0008 | MARSONO | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0009 | RAMLY POLTAK BERNAD BATUBARA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0010 | CALLYSTA ZHIPING | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0001 | KAYLA JUNIARTI | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0011 | HENDERA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0009 | TJIA SUI NUN | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0010 | DEA DEKRISNAWATI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0011 | DJAUW ASOET | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0012 | LIONG MIE YUN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0013 | RUDY | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0012 | ARISTIE NURDIAN SANI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0002 | DAISY ROSSANDRA SITOMPUL | dr. RATNA SETIA ASIH, Sp.A.,MM.Kes | BPJS | |
| B0014 | VERDI JUNIRWAN | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0015 | DIANA FARAS TUTI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0013 | SIU HO | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0014 | INDRA KRISNA NUGRAHA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0015 | TJEUW KHIOEK TJHAIJ | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0016 | FEBY RAHAYU | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0017 | JUWITA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0018 | DORA PALUPI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0019 | TARIZA NOVITRI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0016 | ANA HASANAH | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0017 | SURIANTO | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0018 | MUDAHKIR | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0019 | DALY Z HAREFA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0020 | CAROLLINA ANDRIANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0021 | DHEO ARDIANSYAH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0020 | NG NONI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0021 | DJUNNAIDI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| C0021 | DITA NOVAYANTI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0022 | SERIWATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0022 | ASMAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0023 | LIE A TJHIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0022 | ABDURRAHMAN FARID RAFAIZAN | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0024 | RAHMAH NABILAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0023 | KURDIANSYAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0025 | AZIZAH | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0026 | RAFASYA QIANA ALMAHYRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0024 | RITA DIANA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0027 | YUNIFITA FAULA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0028 | SURIP | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0025 | EKAWATI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0026 | EMMY PINTAULI HUTAJULU | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0029 | A SYARNUBI MS | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0030 | SURYANA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0031 | HIDAYATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0032 | RAISA AFRAH AGUSTA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0027 | UYENG SUGANDA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0033 | PUTRI KARISMA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0028 | INDRIANI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0034 | SALSA ALIIFAH PATHUR | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0035 | LILI ARYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0036 | YOSSI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0029 | ARSAD | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| D0001 | SUTARSIH | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0037 | NIKHLAH ZANZABILA NANDA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0030 | ZAIDA RAHMI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0031 | RINI SUCI ANGGRAENI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0038 | AHMED GUNTORO | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0039 | MOCHTAR ROMLI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0040 | AGUNG PRABOWO | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0032 | SUTARDI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0041 | DARMA TAPSIAH | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0042 | EDI BURDIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0043 | AZIZAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0044 | TJEN NJUK LIANG | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0045 | DERA MONICA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0033 | KARTINI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0046 | KURIYAH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0047 | KAYLA CHARISSIMA AISYAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0048 | DERA MONICA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0049 | NOVIKA DESVI UMAMI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0034 | RINCE | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0050 | YASAMA HALAWA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0051 | SHARLITA MASDIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0052 | MEIRANTI ANGREANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0035 | NYUN SIAT | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0053 | RISKY IRMA SEPTIANI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0054 | SULIHASTUTI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0055 | OCA ADELIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0002 | GUSTI EKI CHRISANDI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0056 | MIHARZA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0057 | MEGA MUTIARA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| A0023 | ZASKIA ATHA SYAFIIQAH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0058 | AQILA LATHIFAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0024 | DAISY ROSSANDRA SITOMPUL | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0036 | KWET SIUN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0059 | INDAH PURNAMASARI HUSAINI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0037 | SUNAH | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0060 | PUTRI ALISHA SHAKILA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0061 | SABARUDDIN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0038 | AAN SUNENSIH | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0062 | RTS FATIMAH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0063 | MUSTAPA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0039 | BOEN SOIY KIM | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0064 | M. FEBRY ALLDIANSYAH | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0040 | RATNA SARI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0041 | RINA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0065 | WAHYU JESIKA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0042 | ROSMIYATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0066 | ROSMIYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0067 | MUHAMAD ALFAN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0025 | RASYHA AZZAM NASRULLAH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0068 | SUTRISNO | dr. NOVIA NASIR, Sp. M | BPJS | |