| B0001 | PETI SASMITASARI | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0001 | BOEN NGIT FO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0002 | BOEN TJIT MOIJ | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0001 | CHEALSY XENA AUDREY PHINTA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0003 | AHMAD ZAKY FADHILLAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0004 | LINA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0002 | BONG SIOE JANG | dr. SHENY AGMA, Sp. N | BPJS | |
| B0005 | CAROLLINA ANDRIANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0003 | RIVANI SYAHFUDDIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0006 | SYAMSUDIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0007 | SINTA BELA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0008 | RASIDIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0009 | SAINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0004 | LIM DJOEN KAUW | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0010 | MARLENA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0005 | ELLAINE | dr. SHENY AGMA, Sp. N | BPJS | |
| B0011 | LINDAWATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0012 | TJHIE A LIAN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| D0002 | AMOI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0013 | MITA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| D0003 | RAFIQI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0014 | RISKI RHAMADITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0006 | WIRNA OKTARINA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0007 | LIOE TJHOI HIOENG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0015 | ARDHILES | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0016 | BERTHA SITANGGANG | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0017 | KAMSIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0018 | AZWARI | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0001 | ANDRIAN | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0019 | SUMANTRI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0008 | MARGARETHA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0020 | HASUDUNGAN SIHOTANG | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0021 | WE LIANG | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0009 | EDASARI VACOLINA | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0010 | SUMARLAN SUDARWA T | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0022 | SULASTRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0023 | HENDRA THERISITHA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0011 | HASMULYANA | dr. SHENY AGMA, Sp. N | BPJS | |
| A0002 | ALMIRA ZAHRIN ZAHSY | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0012 | RINCE | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| D0004 | FITRI EKA DEWI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0013 | SURYANI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0024 | FENNY | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0014 | MUHAMMAD FAISAL AKBAR | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0025 | RAISYAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0003 | SINDY KASARI | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0026 | FRANAWATI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0027 | RICKY AZROFI SAMARA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0015 | KUSMA BETY | dr. SHENY AGMA, Sp. N | BPJS | |
| B0028 | YULMADISAR, SH | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0029 | ROSMALAH | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0030 | ANIS KORLELA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0031 | ROMLA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0032 | RIEZKY PRATAMA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0033 | ADIF PRANATHA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0004 | DEWI PERTIWI | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0034 | AIS DIOME | DR ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0035 | KARMILA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0036 | ELVI MELVIANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0016 | HAU HAU | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0037 | RANTI RAHAYU | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0017 | BOEN DJIN HIONG | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0038 | JAMILAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0039 | ROSLA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0018 | LONTAS SILABAN | dr. SHENY AGMA, Sp. N | BPJS | |
| B0040 | KALIRI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0041 | GEA FEMYOLA | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0005 | SINDY KASARI | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0042 | ARMELIA LESTARY | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0019 | RIDYA NATA DELIYANTI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0043 | RIKI YOFIANSYAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0044 | HAMSIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0045 | SITI FATIMAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0020 | OKTARINA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0046 | MUNSANI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0021 | FITRIYANA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0022 | NURUL DEWI RAHMAWATI | dr. GLENN ADIPUTERA TANDIAN, Sp. BS | BPJS | |
| B0047 | ARSYEL RADEAN KHAFI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0048 | FILZAH RHEYMADHIANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |