| C0001 | SURANDI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0002 | BOEN TJIT MOIJ | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0001 | BASINAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0003 | MUSTORI | dr. SHENY AGMA, Sp. N | BPJS | |
| C0004 | EDDY SOFYAN | dr. SHENY AGMA, Sp. N | BPJS | |
| C0005 | DEA DEKRISNAWATI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0002 | HALIMAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0006 | YULIANA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0007 | LIBOT | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0003 | YULIA MARINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0004 | DJUNG SIONG | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0005 | TJHIN KOEI JOENG | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0006 | MARDALENA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0007 | LAN DJIN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0008 | CANDRA TARIHORAN | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0009 | SRI RAHAYU BUDIASIH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0010 | PUJI LESTARI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0008 | AIMAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0011 | YENNY | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0012 | SURIYANA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0001 | FITRI EKA DEWI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0013 | YATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0014 | IRMA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0015 | SRI WAHYUNI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| A0001 | MIN YAN | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| B0016 | EMI YANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0017 | SITI KHOLISOH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0018 | SONETA AGUSTRIANTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0019 | RUSDIANA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0009 | ISMAIL GANI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0020 | TJHIN SIU FUN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0021 | SARIWANTI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0022 | TJHIA JOEN FOE | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0023 | MASTUTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0010 | SAWALUDIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0024 | RIZKIA MEILANI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0025 | VITA CHRISTIANI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0011 | IRWANSYAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0012 | HELMIYATI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0026 | YANG ROSLAINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0013 | FERIANSYAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0027 | BOEN TJO NGIAM | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0014 | DJUNAIDI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0028 | KUSYANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0029 | GLADYS AUDREY FLORENCIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0030 | RISNA WATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0002 | HARYANTO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0031 | SULISNAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0015 | DEAN FATHIA RAHMI | dr. GLENN ADIPUTERA TANDIAN, Sp. BS | BPJS | |
| B0032 | HERMANSJAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0033 | SUNARTI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0034 | KHIAN KHIAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0035 | EMMA YULINDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0016 | SUYOTO | dr. SHENY AGMA, Sp. N | BPJS | |
| D0003 | DEDY BUNNAWAN | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0017 | NG KIAM TO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0036 | AIS DIOME | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0037 | SUKIRMAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0038 | NURHAYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0039 | KAYLA CHEZI RAHNISA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0040 | SAINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0041 | ROSMALA DEWI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0018 | SHARLITA MASDIA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0042 | MERIZA KRISTIANI | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0043 | ERLAN FIRLIKA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0019 | BELOVA ALBEAUTY ERISON | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0020 | SUGIRI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0044 | SUHELMI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0045 | FATMAWATY HARAHAP | dr. YOGI YAMANI, SP. B | BPJS | |
| B0046 | BONG MUK LONG | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0021 | META | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0022 | HIAN PIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0047 | DYREN YANUARDINATA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0048 | SURYANA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0002 | GISKA NATASYA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0023 | LIA MANDASARI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0049 | FIFI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0050 | AMIR | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0051 | SUTINI | dr. YOGI YAMANI, SP. B | BPJS | |
| B0052 | SUTINI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0053 | HARNIZAR | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| A0003 | NABILA IVANKA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0054 | SUMIARSIH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0024 | CHANG FANG WE | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0055 | AMINAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0056 | RESTI ANGGRAINI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0057 | A SYARNUBI MS | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0058 | NURHASANAH. | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0059 | AMINAH APENG | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0060 | LIAUW FON SAH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0061 | YUNIARNI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0062 | ERWAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0063 | SUMIANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0025 | SIM SOEN KHO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0064 | SETIAH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| A0004 | RAFASYA KINZA MUNADIL | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0065 | RUDI SUPRIYADI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0066 | SUMARNI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0067 | JOTO HERMANTO | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0068 | HAMSINAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0026 | LINA | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0069 | EKAWATI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0070 | ZULKARNAEN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| A0005 | REVI FERDIANTO | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0006 | ADILLA ZAHWA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0071 | WIHARTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0004 | RIMADINI ZULYANTI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0072 | WIRDA WATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0005 | RIMADINI ZULYANTI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0027 | AIZAMA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0073 | AGUS SETIAWAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0074 | BAYI NYONYA ATMA SARI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0075 | YOHANA F.R DESSY. K | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0028 | JUSTIAN APRIADI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0076 | YULIARATNA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| FATA MARGANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| SARIDAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| SULAIMAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| VELLISIA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| TJEN DJAT MOIJ | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| MIRA TARINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| MAIMUNAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| PUASANDA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| SIOE PO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| KUSRINA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| SUYANTO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0029 | YULIANI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| D0006 | SUKARDI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| D0007 | ASMADI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0030 | MAINA BAKAR | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0007 | INAYAH FEBI AZARA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |