| B0001 | SAPTA MINGGA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0001 | SUWARNO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0001 | MUSTARIH | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0002 | LIONG NGIT DJIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0002 | WAHYUNI SAFITRI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0003 | ROKIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0004 | FITRIANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0002 | RINA KURNIATI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0003 | ASMAH | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0004 | ROKIAH | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0005 | YULITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0003 | SAKHINAH RAHMADANI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0005 | WAHYUNI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0006 | MIMIE HARTINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0007 | RUBY SHINE HILMI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0006 | DJUMHARI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0008 | ROSYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0009 | NGIAT NON | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0010 | ITA LUSIANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0011 | DEVITA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0007 | DENI SARDI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0012 | YUNITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0013 | DAVINA NUR LATIFAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0014 | ANTONIO SAH PUTRA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0008 | H. PADRI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0015 | TJONG WE TIE | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0016 | MARITA DHARMAYANTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0017 | CAROLLINA ANDRIANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0004 | SHERINA FAHIRA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0018 | KELVIN MARCELINO | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0009 | M. SOFYAN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| A0005 | SITI INAYA ALSYA QORRIE YUSUP | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0019 | SURYANI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0010 | ERNIK KUSUMMAS TUTI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| A0006 | HENI ROKHAENI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0020 | SALSA ALIIFAH PATHUR | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0011 | YUNI PRANITA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0021 | NELLY INDRAWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0022 | EDASARI VACOLINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0007 | REFLIN WENDYKA CHRYSTIANA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0023 | MARIA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0024 | VERDI JUNIRWAN | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0025 | SABYLA MAYANG SARI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0012 | IMRON | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0026 | PONIMIN JATIMAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0027 | HARTINI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0028 | ALDIO ADISTYA ASHARI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| D0001 | THOMAS EDISON REGAN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0029 | KARTINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0013 | SUNARTO | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0030 | MUHAMMAD JAKA RAMADHAN | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0031 | ENNY MAULINAR | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0032 | MUHAMMAD MURI RIZKI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0033 | HAFINI SUSILAWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0034 | WAGIYANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0008 | YUDIANAH | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0014 | LIE NJUK KHUN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0035 | RISAL | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0036 | ARKANA KANAKA ALFARABI | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0009 | FHAELYNN ZOEYA AFERHIA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0010 | SARKIYEM | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0037 | SUAINA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0015 | SUMARLAN SUDARWA T | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0016 | RUDY | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0017 | CHAIRIL ANWAR | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| A0011 | QUENBEE ALEA SARI WIANSYAH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0038 | LO DJOENG KHO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0018 | SURYATINAH | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| A0012 | RIRIN MAULIANI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0039 | ZEIN ABIZAR MALIK | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0040 | NORI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0041 | NORI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| A0013 | DEWI YANTI HASIM | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0019 | SLAMED | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| A0014 | ANDRE SANJAYA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0042 | FANIA MIKO WILUJENG | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0020 | SRI KAYATI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0043 | ZEKLI FEBRIANO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0044 | MEITA LISKA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0045 | YULIANA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0046 | SANTARI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0021 | SIAN MUK | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0047 | ROHANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0048 | ALI YATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0049 | ASTUTI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0050 | AINI | dr. NOVIA NASIR, Sp. M | BPJS | |