| A0001 | NUR HIDAYATUL HASANAH | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| A0003 | ELIZA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| A0006 | NURYANI | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| A0010 | MARURI WAHYUNI | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| A0011 | DIYTA VANNISYA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0011 | ROHANA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0013 | SAHARA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0014 | MARDINEM | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0020 | DIANA ISMAIL | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0021 | HENNY DJUNIARTI, SH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0026 | A. RUSLI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0030 | PERRISON NAPITUPULU | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0034 | WIHARTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0025 | SARTINA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0033 | AGUS GUNAWAN LIE | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0009 | JANUAR ARI SANDI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0025 | YUDI OKTRIADI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0027 | MINA HARUN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0036 | SYAMSIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0039 | LANNA ROOSLY | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0043 | HIKMAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0008 | LIM TOENG DJAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0016 | NURHAKIM | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0024 | SHALLOM GLORY TANJAYA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0028 | NUNNIAWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0031 | REFANDO SUMARNO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0033 | ZAINAB | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0035 | RAFAILAH FADILLAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0040 | AQILA FIRSYAH QIRANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0041 | SEKARJAYA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0044 | MERIE LHUVANTIE | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0003 | MARSHA RIZKY NINDIYA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0005 | FADHIL IZDIHAR | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0006 | SITI FADILAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0007 | WAHYU SETIAWAN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0015 | ACHMAD ZAZULI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0002 | SOPO SITOMPUL | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| A0005 | JASRI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| A0008 | MUK SAN | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| A0012 | ALMI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| A0014 | ADAM | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0019 | IMAM MUTHOHIR | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0029 | DJAP NGIT SUNG | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0002 | ISMAIL | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0003 | JAMANI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0004 | JUMLI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0007 | PASTI EFFENDI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0011 | NURHAYATI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0012 | ASTINA | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0013 | ABU ZED | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0014 | BUN KIN LIE | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0019 | ERCO RAMADHON | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0021 | DARUSSALAM | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0023 | HARSUDI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0024 | TJEUW DJUNG MUI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0028 | ASMANI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0032 | SUKIAH | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0002 | ASRI AULIA AGUSTIN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0004 | YASARI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0010 | NOPIANTI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0012 | SELLA MONICA UTAMI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0017 | SURTA ARITONANG | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0018 | ABDUL AZIZ | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0023 | SULASTRI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0032 | ABQORI AGAM HASMI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0027 | GUSTI UTAMI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0001 | ROSMINAH | dr. SHENY AGMA, Sp. N | BPJS | |
| C0005 | ERNAWATI | dr. SHENY AGMA, Sp. N | BPJS | |
| C0010 | YULIANY | dr. SHENY AGMA, Sp. N | BPJS | |
| C0015 | MARIS SITOMPUL | dr. SHENY AGMA, Sp. N | BPJS | |
| C0017 | TENNY FEBRIANI | dr. SHENY AGMA, Sp. N | BPJS | |
| C0022 | MAHALI | dr. SHENY AGMA, Sp. N | BPJS | |
| C0031 | MEMEY | dr. SHENY AGMA, Sp. N | BPJS | |
| C0008 | TJHANG MIE LIE | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0009 | SUMANTRI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0018 | AGUS SUPRIYADI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0026 | RAMDAN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0029 | SATINAH | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0037 | SIH AYU TRISNA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0042 | LIE PIT NJONG | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| A0007 | ALFAVIAN KENZIE BASWARA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0009 | DAYYAN ALYAZAN | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0013 | ADEN AL BUCHORI | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0030 | LIDYA | dr. AMANDA FRISKA RISMAYANTI, SP.THT-BKL | BPJS | |
| C0020 | SELIN | dr MIFTAHUL JANNAH,, Sp. N | BPJS | |
| B0001 | JURI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0022 | RITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0038 | LANNA ROOSLY | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0004 | JASRI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0016 | ROBANI ABU BAKAR | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0006 | TUMPAL SIHOMBING | dr. AMANDA FRISKA RISMAYANTI, SP.THT-BKL | BPJS | |