| B0001 | ANDRI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0002 | YULIANTI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| D0001 | RIDYA NATA DELIYANTI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0001 | RIDYA NATA DELIYANTI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0003 | ASYAM HAAFIZH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0002 | CIAP SUN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0004 | JUN YING | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0005 | SATIWEN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0006 | INDRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0003 | SUSILAWATI | dr. SHENY AGMA, Sp. N | BPJS | |
| C0004 | RIDYA NATA DELIYANTI | dr. SHENY AGMA, Sp. N | BPJS | |
| C0005 | FATIMAH | dr. SHENY AGMA, Sp. N | BPJS | |
| B0007 | RITA DIANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0008 | MURNI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0009 | THELENA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0010 | HERYANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0011 | WIRNA OKTARINA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0006 | TJHIE KIM KWET | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0007 | ELLAINE | dr. SHENY AGMA, Sp. N | BPJS | |
| C0008 | ROKIAH | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0012 | GITA PRADESTI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0009 | SUTARJO | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| A0001 | STIFFANY THENDY CLAUDYA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| C0010 | SUTARJO | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0011 | LISMA YANTI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0012 | MARDALENA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0013 | DIDI YUDHA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0013 | JAMANI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0014 | ANWAR PADELI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0014 | TJHIE DJUN LAI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0015 | HASMULYANA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0015 | OKTA SAKTIYANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0016 | RUSDIANA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0016 | YAHUZ ARIFIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0017 | HENDY FONG | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0018 | YUNIARNI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0019 | SEPTI REGITA CAHYANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0017 | KUSMA BETY | dr. SHENY AGMA, Sp. N | BPJS | |
| B0020 | KHANSAA RIQQAH | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| D0002 | PHAN DJOEN DJIE | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0021 | DJAP MIE SIAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0022 | AURIEL PUTRA WIHANTARA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0018 | GATRA ASTA GINDA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0023 | ABDU SHALIH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0019 | INGAT DWITA | dr. SHENY AGMA, Sp. N | BPJS | |
| C0020 | BOEN LIE LIE | dr. SHENY AGMA, Sp. N | BPJS | |
| A0002 | ALFATIH RAZKA MUMTADZ | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0021 | ZUHRIAH | dr. SHENY AGMA, Sp. N | BPJS | |
| C0022 | ELLY MEARTI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0024 | EMMY MEGAWATI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0025 | RASYIDI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0023 | RIDO YUNIKEN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| A0003 | MUHAMMAD ABQARI HANIF | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0026 | SINTA ELVIRA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0024 | SUKIAH | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0027 | RIKA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0028 | MUI HO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0025 | ICHWAL HARYADI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0029 | YUSWATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0026 | SUBAI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| D0003 | EVA NURSILA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0030 | RICKY AZROFI SAMARA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0031 | DEVI SARITA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| A0004 | AUZIA ARISTA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0032 | KHAYZA SUCILA RAMADANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0027 | BUDIMAN TURNIP | dr. SHENY AGMA, Sp. N | BPJS | |
| B0033 | MUHAMMAD FAISAL AKBAR | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0028 | MAROLOP RAJA GUKGUK | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0034 | HERY GUNAWAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0035 | AIRIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0036 | YUSNI TAMRIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0037 | ARTA FLORIDA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0004 | RINI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0038 | THELENA | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0005 | SUPRIYO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0039 | HARNOTO | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0040 | MOHAMMAD ADHABI PRATAMA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0041 | PUTRA RAHMADHON | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0042 | SANGGAM HUTABARAT | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0029 | ASNAH | dr. SHENY AGMA, Sp. N | BPJS | |
| B0043 | SUHARTONO S | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0030 | AMRIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| D0006 | LIE KAM FO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0044 | FIRANDA KIFRAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0045 | SYAQINA MAWARDAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0046 | CHIKA ANGGRAINI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0047 | ADIK DEWI GUNTARIE KENCANA KARTINI MS | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0048 | TULUS WIDHI YUDA PRAWIRA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| A0005 | YURISKA BAYU | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| D0007 | DEDE PURWANTI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0031 | NOFIYANTI HARINI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| A0006 | RINDRI ARESTA DEREZA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0049 | TJHIN TET FUI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0050 | JENISYA PRICILIA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0051 | DETA LARASSATY | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0052 | SUMIATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0053 | SALMIWATI | dr. NOVIA NASIR, Sp. M | BPJS | |