| D0001 | SAMSUL ARIFIN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0001 | DRS. M. IDRIS WAHIDIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0001 | DIAH HERLINA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0002 | RAHMAN KASIM | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0003 | ROZALI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0002 | FITONAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0003 | ANGGRAIRI RAFELIANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0004 | ARIES PRAYOGA IKBAR | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0005 | GUNI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0006 | SUYANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0007 | YUNI PUSPITA SARI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0008 | VERDI JUNIRWAN | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0004 | YUN YING | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0005 | RIDYA NATA DELIYANTI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0009 | MELIANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0010 | NOFITA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0006 | TJUNG KHIN SET | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0011 | SERAWATY | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0012 | DIKA SAPUTRA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0013 | KAMARIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0014 | MERRY NURVINDA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0015 | VERDI JUNIRWAN | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0016 | KAYLA JUNIARTI | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0007 | H. PADRI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0017 | WINDA FEBKIZA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0018 | MARIANI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0019 | CANDRA WIJAYA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0020 | EDUARD | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0021 | ALGANI FAHRIZI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0022 | LIE SUI TJIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0008 | RIONICO CHRISMARHEINO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| A0001 | ALSYAZANI NUR RIZQI | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0023 | SUMARLAN SUDARWA T | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| A0002 | INAYAH ALMASHIRA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0009 | M. HASBI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| A0003 | ARSYILA NOOR DINARA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0024 | VICTOR TAMBUNAN | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0010 | SAPTINA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0025 | ULTRA TISTAWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0011 | SYAHRIA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0026 | HILDA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0027 | ADELIA ZEVITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0028 | AURA KINANTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0029 | NGIAT SUNG | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0030 | GRACIA ANGEL | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0031 | IMAN SUPIAR | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0032 | LIE ENG HUAT | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0033 | YINNI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0012 | SUMIATI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0034 | FENDY SOENG | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0013 | ARSHAKA RAMADHAN | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| D0002 | SYAMSIAH | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0014 | M. ARSYAD | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0035 | NUR ELLY | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| A0004 | AWDIRA JENNAIRA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0036 | APRIANSYAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0037 | FADHLURRAHMAN FAJARI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0038 | HAIDAR YATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0003 | SUPINI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0015 | ASLIADI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0016 | NURFAHMI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0039 | JUNI | dr. YOGI YAMANI, Sp. B | BPJS | |
| A0005 | REVINA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| C0017 | SANTI MULYANI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0040 | TSAABITAH ANNAJAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0041 | JUNEDI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0042 | A TJIT | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0043 | BOEN DJOENG TET | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0044 | TIO SEKMA PUTRA | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0045 | FERRY ARTFIYANSYAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0018 | NURFAHMI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0046 | GHAZERA OLIVIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0047 | ASMAWI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0019 | BAIDAH | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0048 | MUHAMMAD DAVI ADRIAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0006 | MEISYA SALSABILLA IRDIYANA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0049 | LIM SOEI KHOEN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0050 | SUMITRO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0051 | RACHMAT ARIF WARDANA | drg. RETNO JAKA UMBARA, Sp. Ort | BPJS | |
| B0052 | ARSIMAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0007 | ELZAN DIERJA MAHENDRA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0053 | NURKISA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0020 | DANIEL NATALA WIJAYA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0054 | TRI SUSANTI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0055 | ZULKIFLI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| D0004 | HIDAYATTULLAH RESTU ANDY | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0056 | MEGA AULIA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0057 | NURKISA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0008 | MUHAMMAD ZHAFRAN RAYYAN | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0058 | RUDI HARTONO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0059 | IZZAN FEBRIAN | drg. RETNO JAKA UMBARA, Sp. Ort | BPJS | |
| B0060 | BINTANG ADHYASTA | drg. RETNO JAKA UMBARA, Sp. Ort | BPJS | |
| B0061 | BUDI SUPARNO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0062 | ROBAKYAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0063 | GHAISAN ZIZOU AL FATIH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0021 | NURHAYATI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0064 | KHALID MALIK UTOMO | dr. NOVIA NASIR, Sp. M | UMUM | |
| B0066 | LISNA SARI NINGRUM | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0068 | DICKY ALFANDO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0069 | ARAFAH AGUSFIKA | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0070 | KLARISA SIAHAAN | drg. RETNO JAKA UMBARA, Sp. Ort | UMUM | |
| B0071 | NURLANLI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0072 | LISTA ANIYANTI | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0073 | RIPANDI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0074 | AHMAD ZEN ZACHORI AL CHAVID | dr. YOGI YAMANI, Sp. B | BPJS | |
| NINA HASANAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| RIPIN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| METY | dr. DAMERIA HASTARI, Sp. PD | BPJS | Resep Sedang Dientry |
| NUSIRWAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0076 | ROSSELI | dr. YOGI YAMANI, Sp. B | BPJS | |
| AHMAD ZAIDI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0009 | NASYIFAH KHAIRIS | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0022 | TJHIA MEN THIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0077 | M. FUSILAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| FAHRORROZI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| DJAMHIR TANSIL | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0023 | HOTIMAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | Sedang Disiapkan Oleh Apotek |
| TJEN DJAT MOIJ | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| AGUS PRAYITNO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0025 | TJHIN MIN LAN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | Belum Diproses Bagian Apotek |
| MARINI DALIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0010 | ANIS ALISA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | UMUM | |
| RAHMAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0026 | IMAN FATHONI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| SRI SURYANTI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0077 | ERLYN SETIAWAN | dr. DAMERIA HASTARI, Sp. PD | UMUM | |
| B0080 | SANISA | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0006 | KAMARUDIN USMAN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0024 | ADAM | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0078 | SUHARJO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0079 | SAINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0078 | PASCKHALSIUS ELVANO JEHALUN | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0081 | TRI INDAH SARI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0082 | ALDARMA QENIANZO | drg. RETNO JAKA UMBARA, Sp. Ort | UMUM | |
| D0006 | ARWANTO | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| D0007 | MARSIN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0083 | ROMLI | dr. YOGI YAMANI, Sp. B | BPJS | |