| A0001 | NURAINI | dr.H. SUANDI, Sp.OG,M.Kes | UMUM | |
| B0001 | ANGGUN AFRILAWATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0001 | HJ.ZAUYAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0002 | HALIJAHWATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0002 | BAMBANG SUYOKO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0003 | SIM MIE LIANG | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0004 | ERNA AZIZAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0005 | VERDI JUNIRWAN | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0006 | FAYZA IRKA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0003 | WAHIDA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0004 | SITI UTARI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0007 | AMIRAHMI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0005 | THAM TJAUW LIONG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0008 | AGUSTINA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0009 | DEA DEKRISNAWATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0010 | META PRATIWI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0006 | DJAP SIU DJIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0011 | WENNY JUMINAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0012 | NURLAELAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0007 | TATIK HARLINAWATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0008 | ELISA LESMANA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0013 | ANDRIANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0014 | ERMA DENI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0015 | NOFITA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0009 | YAN RIZKAN AMIR | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0010 | MARUYA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0016 | RAZEN SYAHPUTRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0017 | YULIANTI | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0018 | SJAFRI ARDIAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0011 | HONONA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0012 | HAMDAN | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0019 | SARJIMAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0020 | SITI HARTAMI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0021 | ETTALITA | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0022 | SUPRAPTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0023 | FITRI YANTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0024 | ERIN MEILIA HARLINA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0025 | CHINTYA NATALIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0026 | LOLA OCTAVIARNY | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| A0017 | MUHAMMAD RAYYAN AL KAHFI | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0027 | AFRINA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0018 | MUHAMMAD RAYYAN AL KAHFI | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0028 | KINANTI SYABILA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0029 | AMIRAHMI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0030 | AIRIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0031 | YUNI PUSPITA SARI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0032 | VENTDRICK CHARLEEN CHIA PUTRA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0033 | NORPI'AH | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0034 | LISA KUSMIATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0019 | INDAH REZKY AGUSTIN | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0035 | ZURI BALI AGUS | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0013 | HALIMAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0020 | VANO FERNANDO | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| D0001 | RANI KASIH | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0036 | SUKMANESIA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0037 | SEPTI SUHARA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0038 | MARIANI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0039 | IRDIAN TAMIR | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0040 | ARDHILES | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0041 | BERTHA SITANGGANG | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0014 | SAMSU | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0042 | THAM SAN TJIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0015 | AMRIN TOHRI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0016 | ARNISAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0043 | SAMUEL ANDREW JUNIUS GULTOM | drg. RETNO JAKA UMBARA, Sp. Ort | BPJS | |
| B0044 | ELY | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0045 | HILMANA | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0046 | ZULKIFLI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0047 | NUR ASIA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0048 | FAHRA JULIANDRI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0017 | AINUN ROFIQ | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0049 | MUNA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0050 | HALILI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0051 | MUHAMMAD | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0002 | TJHIN SOEN FOEI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0021 | AHMAD ZAYN | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0052 | ANGGRAIRI RAFELIANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0053 | MASKUR | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0018 | DRS. DAHLAN SIMANGUNSONG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0054 | NURSIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0019 | ROKIAH | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0055 | ANATASIA AMANDA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0056 | SINTA DEWIE | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0057 | LIKO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0058 | RUSMINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0059 | OEY LIAN ING | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0020 | SYAHRIZAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0021 | YULIDIANSYAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0022 | JOTO HERMANTO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0023 | ADIF FAUZI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0024 | SRI HASBIYANI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0060 | ERNI PONIYAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0025 | HARNAIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0061 | ALIYA SAFITRI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0062 | DEWI PUSPITA SARY | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0022 | WENI LESTARI | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0063 | DEVI RAHMAWATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0026 | SUKIAH | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0064 | PARIDA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0027 | ATJIT | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0028 | SUSI OVIASARI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0065 | SERAFIM GLORY TANJAYA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0029 | SAHRAM | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0030 | TJHIN LAN TIE | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0031 | LIDIA ELVIRA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0032 | LIDIA ELVIRA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0033 | SUI LIAN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0034 | RINI LESTARI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0066 | AFRIYANTO TANJUNG | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0067 | JONG PRASCELIA AMANDA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0068 | WIWID REZDA JUWITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0069 | WIRYATMOKO | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0070 | RUSNI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0023 | ELZAN DIERJA MAHENDRA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0035 | NURSIDAH | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0071 | RINA YULIANI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0072 | DESY HARYANTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0003 | TJHIN DJOEN TJHOEN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0073 | DITA DAMAYANTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0074 | ABU HASAN | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0036 | DENI FILDA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0075 | TRI SUSANTI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| A0024 | RADHIKA ADHITAMA SETIAWAN | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| A0025 | MUHAMMAD AHZA DANISH | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0037 | MUHIDI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0076 | RIRIN DWI ANDRIYANI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0026 | DESWITA ANJANI | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0077 | HERMANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0078 | RUSMIANAH | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0079 | DELINDA NETALIU | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |