| C0001 | SYAMSUL BAHRI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0001 | ANISA AULIA RAHMA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0002 | JUMAT | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0002 | MUK TJIAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0003 | RAHAYU INDARWATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0004 | MUK SU | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0005 | LIM DJOEN KAUW | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0003 | HAFIZH ZACHARY | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0006 | EFFENDI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0007 | DAMSIR DOLEK | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0004 | DEA DEKRISNAWATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0005 | KINANTI SYABILA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0008 | ERPANI TURISNO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0006 | FARIS FERNANDI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0009 | RINA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0010 | YANTO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0007 | WINARTI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0008 | DEFRINO ARIVAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0009 | LIE SUI LONG | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0010 | LIM NGIAT MOI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0011 | NUR AVIVAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0011 | ROSMEDI DAME MANIK | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0012 | ROBIAH | dr. SHENY AGMA, Sp. N | BPJS | |
| B0012 | ANITA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0013 | FAUZI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0013 | YUL BENNY | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0014 | RENI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0015 | CHINTA HENDRA FRED | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0016 | ERNI WULANDARI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0014 | DENI FILDA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0001 | RIBY FEBRINA PUTRI | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| B0017 | RUTH INDRI ASTUTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0015 | RAMDHAN SASMITA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0018 | VITA ROYANI SIMATUPANG | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0019 | SURYAMI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0016 | HARIANPIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0017 | HUZAINI KOLO | dr. SHENY AGMA, Sp. N | BPJS | |
| B0020 | TJHIN MIE LIAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0021 | AGUSTIN LEOTA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0022 | RENDI RUMEKSO | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0023 | SYAILENDRA BERLIAN BASHER | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0024 | SURIANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0025 | SUNAN SUPRIYADI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0026 | FAYZA IRKA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0027 | AZWARI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0028 | YULI FITRIASARI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0018 | HENDRA THERISITHA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0029 | TJUNG A JUN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0030 | ROZALI AZHAR | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0031 | RAZEN SYAHPUTRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0019 | TOIPAH | dr. SHENY AGMA, Sp. N | BPJS | |
| C0020 | HARYATI | dr. SHENY AGMA, Sp. N | BPJS | |
| C0021 | RUSLANDA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0022 | LIENA AIFEN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0032 | REYHAN ALSYACHPUTRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0033 | EDHA SETIANINGTIAS | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0023 | MARWATI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0034 | WALIYEM | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0035 | SAINA BOENARDI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0024 | FAUZAN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0025 | DEWI SHINTA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0026 | HERLINDA PRASTIKA, LIM | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0036 | SABYLA MAYANG SARI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0027 | TJONG SAK TJIE | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0037 | IRWANTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0038 | RIZAL | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0028 | ZUHAIRAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| D0001 | HAMISAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0039 | MIRA SUSANTI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0029 | DJAHUN DJOHANA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0030 | KIM FOENG | dr. SHENY AGMA, Sp. N | BPJS | |
| B0040 | SITI AISAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0031 | TJONG SUI LIE | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0041 | RISKI DJUNAIDI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0042 | TJONG MIE TJIAM | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0043 | MIE YING | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0044 | SRI RUSNAINI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0045 | ANDI SUBANDI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0032 | HERLINA | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0046 | YULIZAR | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0033 | MEYNANDA ARLAN MA'RUF | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0047 | SUNAN SUPRIYADI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0034 | NURSIDAH | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0048 | TAMRIN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0049 | JURIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0035 | MINGAN MARPAUNG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0002 | SHEENA GANIA PRATAMA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0036 | TIURIDA PANJAITAN | dr. SHENY AGMA, Sp. N | BPJS | |
| B0050 | GHEZY ALVA ATHALLAH | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0037 | BIMA ARDIANSYAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0051 | MONICA AORORA CENDRA PUTRI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0052 | FADHIL FAHREZI | drg. RETNO JAKA UMBARA, Sp. Ort | BPJS | |
| C0038 | KOMARIAH | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0039 | SAIDATUN NISSA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0053 | RINA ERLINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0040 | SOPIYAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| D0002 | JURAINA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0054 | ANGGUN PRATIKA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0055 | JUWINDA INDRAWANSYAH, MOE | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0056 | BINTANG MAHARDIKA PUTRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |