| D0001 | MUHAK | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0001 | YANTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0001 | ASTUTI | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0002 | BONG DJIN KHIONG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0003 | LAURENCIUS LEODRA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0004 | JUARIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0002 | NASRULLAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0005 | SOLAHUDIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0003 | RAFI RAFAEL | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0006 | NURDIANA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0004 | DIANDI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0008 | UMI KALSUM | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0009 | HERMANTO | dr. SHENY AGMA, Sp. N | BPJS | |
| B0005 | KHAEREZA YULFAJRIANSAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0006 | SUSILAWATI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0007 | ANGGUN AFRILAWATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0002 | MARSONO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0008 | AMINAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0009 | RESTURINA HARMONIS | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0010 | MUHAMMAD ARZAN AL THAF | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0011 | SURYATIN.S | dr. LINGGAWATI, Sp. THT | BPJS | |
| D0003 | SITI ASMAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0012 | SARIPIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0013 | EUW DJOENG SAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0010 | FELA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0011 | ENI RAHMAWATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0014 | VITA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0012 | SANDY TIAS JOKO WIDODO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0013 | RATU ZAHSY APRILIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0004 | HENDERA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0014 | WENNY JUMINAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0015 | FANY NOVRIYANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0015 | TJHIE DJUN LAI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0016 | DESRIANI HASANAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0017 | SUKIRNO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0018 | WARTINI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| C0016 | NURSALIM | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0019 | SUMARTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0017 | NURSAMAN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0020 | MUHAMMAD ADITIYA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0018 | ARSIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0019 | WATI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0020 | TJHIN HIAN TJHON | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0021 | MEGASARY | dr. SHENY AGMA, Sp. N | BPJS | |
| D0005 | HILDAYANTI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0022 | HARYANTO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0023 | ROSIAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0024 | SUJONORI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0021 | ROSMALA DEWI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0025 | HILDAYATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0026 | ROBERT SIMANJUNTAK | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0027 | SUHENDRO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0022 | SRI RUSNAINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0023 | MARSUDI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0024 | SULASTRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0028 | AMIR INAN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0025 | SUTIANI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0026 | TJUNG KHIN SET | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0027 | RAFIZI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0028 | BUN MIE DJIU | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0029 | SARKIYEM | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0006 | SABAR ALI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0030 | MASKUR | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0029 | SANTARI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0030 | ROSIANA TUHIR | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0031 | DARURI SUDIRMAN | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0031 | IRMAN | dr. SHENY AGMA, Sp. N | BPJS | |
| A0001 | MUHAMMAD FAHREZA ALHANAN | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| D0007 | YUSNIMAR | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0032 | M DIMYATI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0032 | RUSMIDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0033 | TRI SAPTIANINGSIH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0034 | MARSIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0002 | WANIA RIZKY AMIRAH | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| D0008 | H. SYAHRAWI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0033 | INNEKE IKHFA KHAIRANI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0035 | INNEKE IKHFA KHAIRANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0036 | ROKIAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0037 | IDAYU FATMAWATI NINGSIH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0003 | AUDERO NABIL KHAIR | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0038 | OKKY OKTAVIANI | drg. F.X. DODDY SETIAWAN, Sp. Perio | BPJS | |
| B0039 | RUDI SUPRIYADI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0040 | OLIVIA ANANDA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0034 | IZAM RAMADHAN | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0035 | DESPI TRIDIA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0041 | EVA NORIANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0042 | ISMA RINI NINGRUM | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0043 | SYAKIRA INTIAS | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0036 | ASMARA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0037 | BOWO KRISWANTO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0044 | BAGINDO MUHAMMAD NUR FADHLY | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0038 | INAI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0039 | IRMA LINDA WATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0045 | MUK TJIAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0046 | DELFIA AZZAHRA RAMADHANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0009 | WA ODE SALFIANA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| D0010 | SYAMSIAR | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0047 | DANISH MANAF | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0040 | YANTO | dr. RISMAN SARAGIH, Sp.S | BPJS | |