| B0001 | ARI KUSMITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0001 | DIMAS | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0002 | LILIDIA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0003 | BUN MIE DJIU | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0004 | Z U L Y A T I | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0005 | ELY FRIMAWATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0001 | SARONI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0002 | SYAFUAN MELYADI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0003 | SUBAIDAH | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0006 | KURDIANSYAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0004 | JAMANI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0007 | BOEN LIE LIE | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0008 | RIFA AULIA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0009 | FAUZIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0010 | LENNY FITRI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0011 | MOHAMMADONG | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0012 | SAIDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0005 | ROMLA | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0013 | TJHIE NGIT MIN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0014 | ERNA RITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0006 | SUPIARI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0015 | MONIKA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0016 | TRI JUAINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0017 | YUNI PUSPITA SARI | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| C0007 | LIM SIUW KIUN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0008 | ALBERT GUYKENS | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0018 | AZWARI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0019 | LIM SIUW KIUN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0009 | YATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0010 | GUNAWAN SUTEJA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0020 | NAZHAFARINE DELAFROUZ | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0021 | TEN DJAT KHIN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0022 | AUFI IKHTIA ILMA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0023 | KARTINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| D0002 | N. HARIYANTO | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0024 | MUHARRAM HABIBI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0025 | AQILA NAFISA AZZAHRA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0026 | NIA APRILIA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| D0003 | ACHMAD ROCHENDI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0027 | YAKOB M. YUNUS | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0028 | SARWONO | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0011 | YENI OKTAVIANA | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0029 | DACHLAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0012 | VANIA MAGDA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| A0001 | RAYYAN ALGAVI RAFAEYZA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0030 | HERNITHA SEKARWATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0031 | VITA CHRISTIANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0032 | ATI LASMANAWATI | drg. RETNO JAKA UMBARA, Sp. Ort | BPJS | |
| B0033 | YUNIZAR R. | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0034 | ANANDA ILMI SAKINAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0035 | KANG KIM | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0013 | SARIPIN | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0036 | IMRIZAL | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0037 | ARMIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0038 | AZAM AL GHIFARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0014 | INDAH FITRI YANTI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0015 | SAINA BOENARDI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0016 | SALUDIN | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0039 | M QUM ISFAHAN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0002 | DIAN MEITA FRANCIA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0003 | SASTRI MITA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0017 | HASTUTI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| A0004 | DEWI YANTI HASIM | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0018 | SUTIK | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0040 | IDA WIDIARTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0019 | KHAIRUL ANWAR HARAHAP | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| D0004 | DENI SARDI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0041 | HERLINAWATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| D0005 | IPO KAPISA | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0020 | SRI KAYATI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0042 | FATIMAH | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| C0021 | FANI IHSANI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0043 | SAINEM | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0044 | FAUZAN ADITYA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0045 | LISWARNY, SH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0046 | ARA WIMALA DHARMA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0047 | HENDRIYANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0048 | SALSA ALIIFAH PATHUR | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0049 | MIHARZA | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0050 | TASRIANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0051 | DWI NURHAINI IRA RAHMAWATI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| A0005 | JULIANA ARTALITA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0052 | MURHAN BIDIN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0053 | ELTRIANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0054 | DAMSIR | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0055 | ROBINA SUKI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0022 | HERI HANDOKO | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| A0006 | KIKI ADE PUTRI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0056 | JUN CONG | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0057 | MIE JUN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0023 | JOTO HERMANTO | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0024 | JAP TJOEN HOA | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0058 | FARHAN ABDURRAHMAN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0059 | ANDREAS | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| C0025 | SUSNAWATI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| A0007 | ZIDAN FEBRIAN HAFIZ | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0008 | ARYA SAPUTRA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0009 | DEWI JAGA PUTIH | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0060 | DEVI ANJANI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0010 | KHANZA AZKADINA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0061 | NENY MEDIAR | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0062 | SUMARNI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0063 | PUJI KARTIKA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0026 | IZHAN | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0064 | YUMNA AZZAHRA | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0065 | DARMINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0006 | SUHARLAN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0066 | RTS. FATIMAH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| D0007 | EKA SARI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0067 | ARIYAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0068 | MARLINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0069 | NONIATI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0070 | RIFAN MUFAREZI | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0071 | NURHENI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0072 | ALI MURTOPO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0073 | FASYA PUTRA DINATA | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0074 | HAFIZD MAULANA FATIHA AMAN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0075 | SHAKIEL ZAIN EVANO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0076 | DESI WULANDARI | dr. NOVIA NASIR, Sp. M | BPJS | |