| B0001 | MARYAM | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0002 | RIADINA RITONGA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0003 | SUKIATI SAMSUDIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0001 | FX. SLAMET RAHADI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0004 | SITI ASMAH | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| C0002 | RUSDIANA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0005 | TATIK HARLINAWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0003 | ADE PURWAPRIYATNA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0006 | TUNUT SUKEMI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0007 | SARIPA AINI LUBIS | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0008 | DEFRINO ARIVAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0009 | SURYAMI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0010 | SUTIAWATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0004 | TRI DJOKO HENDARTO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0011 | HABIBAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0012 | FITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0013 | HARIANI SYAMSUDIN RIPIN ABAS | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0014 | SAINAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0015 | OYONG LIZA | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0016 | NINING M .AKIP | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0017 | MUHAMMAD RAMADHAN ALFATH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0018 | JUNI ASTUTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0019 | SARWONO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0020 | SUTIRI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0005 | SUMARIA | dr. LINGGAWATI, Sp. THT | BPJS | |
| D0001 | DEA SUWARDI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0021 | MELVINA ANJELITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0001 | SAYIDAH SALSABILA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0022 | MASITOH | dr. YOGI YAMANI, SP. B | BPJS | |
| D0002 | ENDANG SYAIFULLAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0006 | FERIANSYAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0007 | RUSDI ISKANDAR | dr. SHENY AGMA, Sp. N | BPJS | |
| B0023 | LARA PRAMITA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| D0003 | M.HASAN | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0008 | ROSIMIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0024 | ROSMALA DEWI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0025 | ROZIANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0009 | HENDRAWAN FERNANDO NG | dr. SHENY AGMA, Sp. N | BPJS | |
| B0026 | FUADY | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0027 | DIKKI ZULKARNAEN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0010 | SURLIANDI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0011 | HAIRUDIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0028 | KASMAWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0012 | SARNAWIYAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0029 | DESI SUSANTI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0030 | BUDI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| D0005 | RUNI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0031 | DIMAS RIEDHO ALAMSYAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |