| B0001 | BURHAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0002 | SUKIATI SAMSUDIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0003 | DJAP A KAIJ | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0004 | FAM CIT SIAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0001 | HASBI KAIF ABBASYI | dr. RATNA SETIA ASIH, Sp.A.,MM.Kes | BPJS | |
| B0005 | AURA FITRI NOVIANDRI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0006 | HASTINA PRAYUDA WARDANI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0007 | RUDI GUNAWAN | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0008 | KEVINIA HUSVANELA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0009 | HAFIS JUNIOZA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0010 | YUKE MARETA ARIESTA SANDRA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0011 | EVI SUTRISNI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0012 | HOIRI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0001 | MARSONO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0013 | MARSONO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0014 | TSABITA TSANIYA | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0015 | UMI RUMAN LUTFIAH KHIROM | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0002 | QOIRUL ANAM | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0016 | HAKIYA DORLAN HARAHAP | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0017 | TEN DJOEN HEN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0018 | KIM NI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0019 | AMELIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0020 | RESTURINA HARMONIS | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0021 | HANIFAH ADILA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0022 | SUMARTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0002 | MEDIAWATY | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| B0023 | RUKIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0003 | WANTI HUSEN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0004 | SAMSU | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0024 | CHRISTIA MARCELINA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0025 | NORPI'AH | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| A0003 | IRENA PUSPARANI | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| B0026 | MUI HO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0027 | CALLYSTA PUTRI KIFANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0005 | EKA SOLINA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0028 | MARIAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0029 | SUHERMAN | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0006 | AKSA RAJENDRA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0030 | RINI SUCI ANGGRAENI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0031 | ROFII ULUMUDIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0032 | AMINAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0007 | SUWANDI UNEN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0033 | VIOLA ANGEL LEE | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0008 | AJENG UFAIRAH AZKA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0034 | GUNARYANTO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0035 | LISA KUSMIATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0036 | RAFFASYA MAUZA NAZTIO | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| A0004 | DARU GASENDRA SANKARA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0037 | CHAIRISA DELWAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0038 | HAMSINAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0039 | ENY MILIA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0009 | FATHIRAZZAMY | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0010 | ROSALINA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0040 | SHERREN FRANSISKA PUTRI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0001 | SAKAUNI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0041 | NOUFAL KHAIRUL ATTAQI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0011 | HERLINA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0042 | HARTI INDAH MAWARNI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0043 | AZORA ESYA ABINDA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0044 | MARTAHI RAJAGUKGUK | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0012 | BAMBANG ISTIADJIT | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| D0002 | BAMBANG ISTIADJIT | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0045 | NUR APRIYANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0013 | YENNI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0046 | SRI SEPTIARINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0047 | JUNEDI | dr. NOVIA NASIR, Sp. M | BPJS | |