| C0001 | TASLIM | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0002 | MUDAHKIR | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0003 | MARTIEN WAHYUDI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0001 | JUNIYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0002 | HJ. ROHANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0003 | DANIEL INDRAGIRI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0004 | ZAINUR | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0005 | RISKI RHAMADITA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0006 | SITI ASMAH | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0007 | FERMANSJAH THOMAS, SH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0008 | SUTIYONO | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0004 | MARSONO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0009 | AFIVA TUZZAHRO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0010 | NURYAUMI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0011 | ANITA LESTARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0012 | ERSI ELPIANDA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0001 | SHIFA ISTIQOMAH | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| C0005 | DEVI YULIANA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0006 | VITA | dr. SHENY AGMA, Sp. N | BPJS | |
| C0007 | SISKA ARIFIN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0013 | ERNI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0014 | GLADYS AUDREY FLORENCIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0008 | MEGASARY | dr. SHENY AGMA, Sp. N | BPJS | |
| C0009 | ROSMIATI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0015 | MISNI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0016 | YOCHANAN INDROYONO | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| C0010 | BAMBANG ARISADEWO | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0017 | MASKUR | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0018 | ROYAN DWI SAPUTRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0019 | TJEN TJIAN TJIAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0020 | PURWATI BINTI KASMAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0011 | MOK FON FU | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0021 | ALVARIO KURNIAWAN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0022 | SARAH ALIFAH SALSABILA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0023 | DAHNIAL | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0024 | FITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0002 | ADITYA ZAINUL MUTTAQIN | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0012 | THAM TJAUW LIONG | dr. SHENY AGMA, Sp. N | BPJS | |
| C0013 | ERMAWATI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0025 | BONG KHIOEN NIT | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0026 | WIBOWO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0027 | AGUSTINA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0028 | MELIANA MEDO ROHY | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0029 | IRWANTI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0030 | CARLA RAISHA JAYA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0031 | RIZAL | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| D0001 | MANSURSYAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0032 | LIONG MIE YUN | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0033 | ZIYYAN AVRIEANDO MAULANA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0034 | Z U L Y A T I | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0035 | ELMA SUTIA YANTI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0036 | ISMAIL ADI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0037 | AGUSTINUS BINSAR PRAYOGI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0002 | M. SUHARTO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0038 | SUMANTRI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0039 | SHERREN FRANSISKA PUTRI | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0040 | AHMAD NAFIS YURIANSYAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0041 | RIANTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0042 | RENNI OKTAPIYANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0043 | NOVIKA DESVI UMAMI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0014 | BARDINI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0044 | YAKOB M. YUNUS | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0045 | TRIS ERAWATI YULIANA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0046 | ROHATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0015 | FARIANI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0047 | HENDRI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| D0003 | KARTOLO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0048 | HJ.NYIMAS SYUFRIENI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0049 | RUSDIANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0050 | HENI ASMARA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0051 | NADIN ADINDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0003 | RAFIF KHALID AKBAR | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0052 | MEDYA FEBRIANCY | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0053 | MERISA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0054 | MEIRANTI ANGREANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0055 | KENZOU ENDIVANO | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0016 | DJAUW MIE JIN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0056 | NIZAR MA'ULANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0017 | RUSDIANTI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0057 | AMRIANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0058 | ABDI NURSAHRI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0059 | SUMIANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0060 | BONG KHUN NON | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0018 | RIDYA NATA DELIYANTI | dr. SHENY AGMA, Sp. N | BPJS | |
| C0019 | NG NONI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0061 | ALGANI FAHRIZI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0020 | BURHAN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0062 | LINAWATI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0063 | KEYLA ALMIRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0064 | BELURI USMAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0065 | MARIA ARIFIN SUSANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0066 | MUHAMAD NAJIBULLAH | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0067 | SUSILAWATY | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0068 | ENDANG MARYANI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0069 | HARTI INDAH MAWARNI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0070 | DIAN FAJARIA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0071 | FENDY SOENG | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0072 | SULASTRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0021 | SUHARZI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0022 | SUSI SUPARTINI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0073 | NOPIZAR DWIPURNAMA,S.PD, MM | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0074 | PALDA ABRITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0075 | RIDIMAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0076 | ROLLI AKBAR | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0077 | AIRIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0078 | RIDIMAN | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| C0023 | PONIMAN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0079 | RISKY GUSTYA LAMSYAH | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| A0004 | ZAID AHMAD MUZAKKI | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| A0005 | ZAID AHMAD MUZAKKI | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0080 | SURYADI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0081 | ERWINA AGUSTIN | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| A0006 | KHAIRAZKY RIVI FAWWAZILMI | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0082 | LUSNITA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0083 | YOSI ARJUNA REZEKI. S | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0084 | KIRANI MUFTIA SALSABILA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |