| C0001 | SRI SUJANI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0001 | LIE LIE | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0002 | TONY MARYANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0003 | MANGGIS | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0002 | EFFENDI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0003 | ERPANI TURISNO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0004 | SUJONO | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0004 | RUKIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0005 | MISNAWATI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0006 | MUAWWANAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0005 | TJHIE DJUN LAI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0007 | MARTINA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0008 | NORPA FANFANY | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0006 | RUDI HELMI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0009 | LIONG NGIT DJIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0001 | EUW MIE CUEN | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0010 | DRA SUSARI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0011 | ANDINI PURNAMA SARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0012 | DINA KURNIATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0007 | LIM SIUW KIUN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0013 | YUPITASARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0014 | DINI DWILESTARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0008 | ELLAINE | dr. SHENY AGMA, Sp. N | BPJS | |
| B0015 | SALIM | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0016 | M. AMIN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0017 | LA ODE SAHRIN SANI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0018 | SRI RUSNAINI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0019 | ZALIKA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0020 | AZIZA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0021 | SUFEBRUNADI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0022 | DESI NURLIKA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0009 | CHEN KWAN MIE | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0010 | TOIPAH | dr. SHENY AGMA, Sp. N | BPJS | |
| C0011 | FX. SLAMET RAHADI | dr. SHENY AGMA, Sp. N | BPJS | |
| C0012 | RUSNI DJUWITA | dr. SHENY AGMA, Sp. N | BPJS | |
| C0013 | SUPAINO | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0014 | HENDRAWAN FERNANDO NG | dr. SHENY AGMA, Sp. N | BPJS | |
| B0023 | ARYATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0015 | HUZAINI KOLO | dr. SHENY AGMA, Sp. N | BPJS | |
| B0024 | RIO QODRI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0025 | LUNDU TAMPUBOLON | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0016 | JONI TEKAT SYAHRIAL | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0017 | JUSTRA | dr. SHENY AGMA, Sp. N | BPJS | |
| C0018 | RISA RUSMANA | dr. SHENY AGMA, Sp. N | BPJS | |
| D0002 | SAMSIR | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0019 | VIVI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0026 | GARINA BLARA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0027 | WAHYUNI PERMATA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0028 | MALA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0020 | AGUSTINI | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0021 | HARTONO | dr. SHENY AGMA, Sp. N | BPJS | |
| B0029 | FERNI ARDIANI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0022 | SUMANTRI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| D0003 | HENDRA YULIZAR | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0023 | MINAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0024 | A. RUSLI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0025 | NUR'AINI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0030 | MUHAMMAD RAFAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0026 | MEI LING | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0031 | SUSANA,TJUNG | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0032 | ERNI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0027 | SURATI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0033 | MARYANTI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0034 | NG SOEI NGIT | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0035 | YUNIDA SAFITRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0001 | RAYYAN ALGAVI RAFAEYZA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0028 | ABILA SAFA NUR'AINI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0036 | SUTINAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0037 | ZUBAIDAH | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0038 | FAIZZAH NABILA EFENDI | drg. F.X. DODDY SETIAWAN, Sp. Perio | BPJS | |
| C0029 | RASIDI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0030 | MUHAMMAD SABIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0031 | YATI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0039 | LINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0032 | NICKSON ALVIN LAM | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0033 | BARUARA NAPITUPULU | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| D0004 | SURYATI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| A0002 | MARVEL STEVIAN | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0040 | ERAWATI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0041 | RAHADIAN ALI AKBAR | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0034 | AKHMAD | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0042 | PUTRI AMRIANA | dr. YOGI YAMANI, SP. B | BPJS | |
| B0043 | RIKA KURNIATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0044 | EVI SUTRISNI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0045 | JIENDY KUSNI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| D0005 | INDRA DIRGANTARA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0035 | TONY EKO MARTANTO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0046 | DAMSIR | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0047 | WARDATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0048 | KEIYSA AULIA RACHMAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0036 | LIAUW MEN LIE | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0049 | A MAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0050 | NORMAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0037 | GUNAWAN SUTEJA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0051 | MIRA SUSANTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0052 | ULYAH MARMAYA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0053 | MARTINO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0038 | AKMAL FASYA, A.FI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0054 | ARBENI SUSENDRA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0055 | FATIH AYYUBI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0056 | HARTINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0057 | IMRON SAIDI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0058 | DIMAS RIEDHO ALAMSYAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0059 | SUDARSIH | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| C0039 | FRIENTY | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0040 | SINTA DEWI ASMARA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0060 | EDI SUDIAR | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0061 | DJULIA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0041 | LIE A MOEIJ | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0062 | HIKMAL BADALI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0063 | NERI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0064 | APRIANSYAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0003 | CINDY VENA ARIESTA | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| C0042 | TETTY SUGIARTI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0065 | ASMAH | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0066 | MIE NYU | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0067 | FENIATI SUDANTO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0068 | MASYUMI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0043 | THEN KIM FOEI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0044 | IRWIN JUFRI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0004 | SERYN NADYA | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| B0069 | MARNALA GULTOM | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0070 | SUNARDI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0071 | TOIBA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0072 | RITHA DARLIS | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0073 | ELMI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0006 | AGUS SUMARNO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0045 | NENENG FITRIANI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0074 | ISHAK JUARSA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0075 | WIBAWATI | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0076 | RIZAL | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0046 | SJAIFUL ANWAR | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0077 | MARYATI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0078 | FOE SIAN NONG | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0047 | LILI KATRIN K | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0079 | SANIK | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0080 | RAMLY POLTAK BERNAD BATUBARA | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| C0048 | AMRIZAL | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0081 | SARI INDRAWATI | dr. YOGI YAMANI, SP. B | BPJS | |
| B0082 | DEDI ZULFITRI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0049 | KUSMA BETY | dr. SHENY AGMA, Sp. N | BPJS | |
| B0083 | RIA HERYANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0050 | SUPARYANTO | dr. SHENY AGMA, Sp. N | BPJS | |
| B0084 | KIKI ANDRIANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0051 | M. DIMYATI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| A0005 | MUHAMMAD HILMI FADILLAH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0085 | FEREN NATASIA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0052 | SALIMIN BATE'E | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| D0007 | IBROHIM | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0086 | DENIS DWI ANDIKA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0087 | RIYA RUPITASARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0088 | RIYA RUPITASARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0089 | NG NJOEK FA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |