| C0001 | SIGIT HERIYANTO | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0001 | TJHANG JOEIJ MOIJ | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0002 | PRICHILA RAHMADINI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0002 | SAINA BOENARDI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0003 | MIMIE HARTINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0004 | FEBI ANDRIANTO | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0005 | WIDYA ADRIATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0001 | SILAWATI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0003 | RINA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0004 | QELVIN PRADIPTA | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0005 | QOIRUL ANAM | dr. LINGGAWATI, Sp. THT | BPJS | |
| A0001 | JESSEN DOMINIC EVANS | dr. RATNA SETIA ASIH, Sp.A.,MM.Kes | BPJS | |
| B0006 | ANATASIA AMANDA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0007 | WANSIKA SUHERMAN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0006 | PHANG SUI SIAM | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0007 | WANTI HUSEN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0008 | RENDI ARDIANSYAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0008 | VITA CHRISTIANI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0009 | VITA ROYANI SIMATUPANG | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0009 | SUPAINO | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0010 | TIARA MEIRINDA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0011 | PAUSA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | Resep Sedang Dientry |
| B0012 | ROFA AMILIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0013 | FERRIE | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0014 | YOLANDA AVITA PUTRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0015 | JESICA LUVIANA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0016 | LIDYA MUSTA LELA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0017 | SRI WAHYUNI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| A0002 | RACHEL KANISYA HAFLANI | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0018 | YULIARATNA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0019 | FINI FURTIKA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0020 | KABSAH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| D0002 | SUPITRA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0010 | DIDIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0021 | MUHAMMAD ALVARO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0022 | OMPI ELARDA HYGIANITA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0023 | JENNIFER BOEN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0024 | SUPARTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0011 | SUMIATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0025 | DERA MONICA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| D0003 | CUN CUN | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0026 | TANYONO | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | Sedang Disiapkan Oleh Apotek |
| B0027 | GALANG HADIANTO | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| A0003 | RIZKY GILANG RAMADHAN | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0012 | TJOE NGIAM LEW | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0028 | TJEN WE YING | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| A0004 | NAURA AZKIYA HAFIZAH | dr. RATNA SETIA ASIH, Sp.A.,MM.Kes | BPJS | |
| D0004 | ANDREAS RAY | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0013 | FAUZAN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0029 | NOVA YOSI YESINTA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0030 | TAZKIA AULIA RAHMI | dr. YOGI YAMANI, Sp. B | BPJS | |
| A0005 | WA ODE SALFIANA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0031 | AURELIA AGISTA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0032 | ANITA KAROLINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0034 | YURNI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0014 | ZULAINI | dr. LINGGAWATI, Sp. THT | UMUM | |
| B0040 | NURDAYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0008 | NOVIA | dr. MEILANO ROBINSYAH, Sp. PD | UMUM | Sedang Disiapkan Oleh Apotek |
| D0009 | THAMRIN | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| D0006 | BONG KIM LUK | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0041 | HERDHANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0042 | MOEI LIE | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0035 | HELNI PUSPITA SARI | dr. DAMERIA HASTARI, Sp. PD | UMUM | |
| B0036 | AFRILIA ILKARITA | dr. DAMERIA HASTARI, Sp. PD | UMUM | |
| B0037 | KURNIA YUNIKA | dr. DAMERIA HASTARI, Sp. PD | UMUM | |
| B0038 | SUNARSIH | dr. DAMERIA HASTARI, Sp. PD | UMUM | |
| B0044 | NORMAH | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | Sedang Disiapkan Oleh Apotek |
| B0039 | WIDYA LESTARI | dr. DAMERIA HASTARI, Sp. PD | UMUM | |
| LIM KIAN TJONG | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| NUSIRWAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| AGUS PRAYITNO | dr. DAMERIA HASTARI, Sp. PD | BPJS | Resep Sedang Dientry |
| PO KHIONG | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| MARINI DALIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| KIKI ADELIA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0046 | NURJANAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| RAHMAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| D0007 | PAHORUDIN IBRAHIM | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0017 | LIUS HENDRA | dr. LINGGAWATI, Sp. THT | UMUM | |
| C0015 | TJEN NYUK NYUN | dr. DHIETO BASUKI PUTRA, Sp.KFR | BPJS | |
| B0045 | IRDIAN TAMIR | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0047 | HERMANTO | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | Sedang Disiapkan Oleh Apotek |
| C0016 | SOPAR SIHOMBING | dr. DHIETO BASUKI PUTRA, Sp.KFR | BPJS | |
| D0005 | SAINAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| LOE A FOENG | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| AHMAD ZAIDI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| RIPIN | dr. DAMERIA HASTARI, Sp. PD | BPJS | Resep Sedang Dientry |
| NINA HASANAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | Resep Sedang Dientry |
| METY | dr. DAMERIA HASTARI, Sp. PD | BPJS | Resep Sedang Dientry |
| B0049 | MAILA | dr. MUHAMMAD MA'RUF, Sp. OT | UMUM | |
| C0018 | EKA USTIATY | dr. DHIETO BASUKI PUTRA, Sp.KFR | BPJS | |
| C0019 | ELYANI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0048 | YOSEP | dr. ARINAL PAHLEVI, Sp.D.V. | UMUM | |
| SRI SURYANTI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0055 | JIN AI | dr. NOVIA NASIR, Sp. M | BPJS | |
| FATCHURROHMAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0056 | AHMAD | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0057 | ROHANI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | Resep Sedang Dientry |
| HIKMAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0058 | SUPRAPTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0011 | ARAHMA SINDITA | dr. MEILANO ROBINSYAH, Sp. PD | UMUM | |
| C0020 | ABU ZED | dr. ENDANG KUSRENI, Sp. JP | BPJS | Sedang Disiapkan Oleh Apotek |
| B0059 | MIRNA EDITA | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | Sedang Disiapkan Oleh Apotek |
| B0062 | NADHIRA SYIFA MASYURA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0064 | DASMI RAHTIANI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | Sedang Disiapkan Oleh Apotek |
| C0021 | BOEN DJIN HIONG | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| DJUNAIDI KARAMAINI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0066 | MARLINA | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | Sedang Disiapkan Oleh Apotek |
| B0065 | CHANTIKA SEFA SINAGA | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | Sedang Disiapkan Oleh Apotek |
| B0065 | CHANTIKA SEFA SINAGA | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | Sedang Disiapkan Oleh Apotek |
| B0067 | MUHAMAD NAJIBULLAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0012 | FITRIANI | dr. MEILANO ROBINSYAH, Sp. PD | UMUM | Sedang Disiapkan Oleh Apotek |
| B0069 | TJHIN KOEIJ LAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | Resep Sedang Dientry |
| B0068 | ELTRIANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0070 | ANITA LESTARI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| A0007 | MUHAMMAD THALHAH ABDILLAH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0071 | ARUMI SILVANNA PUTRI | dr. ARINAL PAHLEVI, Sp.D.V. | UMUM | |
| A0008 | AFRIANI YULITA SARI | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| D0013 | TJONG HOI TET | dr. MEILANO ROBINSYAH, Sp. PD | UMUM | |
| B0072 | MARVEL | dr. MUHAMMAD MA'RUF, Sp. OT | UMUM | |
| B0073 | N A N I | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0022 | ERLINA | dr. DHIETO BASUKI PUTRA, Sp.KFR | BPJS | |
| D0014 | ZAINUDDIN | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| A0006 | ALEA SAQUEENA AMORA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0074 | ARIFIN EFFENDI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| D0015 | ABD. MANAN. B | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0023 | REVA PUTRI AZAHRA | dr. LINGGAWATI, Sp. THT | UMUM | |
| A0010 | RAHMA ANGELINE | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0075 | SULASTRI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | UMUM | |
| D0016 | JAP MIE MIE | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| A0009 | KEISHA FELLICIA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0076 | BOJES IRAWAN | dr. ARINAL PAHLEVI, Sp.D.V. | UMUM | |
| B0078 | MUHAMMAD THALHAH ABDILLAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0024 | LIOE NJUN TJOE | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0077 | SUWADI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0079 | ISNAINI | dr. NOVIA NASIR, Sp. M | BPJS | |