| A0001 | NAURA RASATY UNGU | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| A0002 | NAURA RASATY UNGU | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0001 | ANDINI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| KUSRINA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| ZALEHA | dr. DAMERIA HASTARI, Sp. PD | BPJS | Resep Sedang Dientry |
| SUYANTO | dr. DAMERIA HASTARI, Sp. PD | BPJS | Resep Sedang Dientry |
| EDI SISWANTO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| SULAIMAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| TJHIN A DJAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| PAIMIN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| SUSI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| SUGIANTO. S | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| MIRA TARINA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| VELLISIA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| SUDIRMAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0001 | LUKNA ZAHRA PUTRI | dr. LINGGAWATI, Sp. THT | BPJS | |