| C0001 | TJHIE KIM KWET | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0001 | BOEN TJIT MOIJ | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0002 | M. ALI AKIP. D | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0003 | MUHAMAD BASORI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0002 | EDY ERWAN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0003 | BONG DJOEN MOI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0004 | THIO, KOK KIANG | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0005 | MUK TJIAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0001 | BONG DJIN KHIONG | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0006 | VITA ROYANI SIMATUPANG | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0007 | TAMRIN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0008 | RAHMATIKA UTAMI | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0001 | I N G G R I D | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| A0002 | MUHAMMAD RAYYAN AL KAHFI | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0009 | TJHANG JOEIJ MOIJ | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0004 | MELIYANTI SAFITRI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0010 | MISWATI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0011 | ABD. MALIK | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0012 | YULITA NATALIA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0003 | ABINAYA ALEXI RAMADHAN | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0005 | MELIYANTI SAFITRI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0006 | FARIZ FAHMI AL FARUQI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0013 | ANGGRAIRI RAFELIANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0014 | SURYATIN.S | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0015 | SERAFIM GLORY TANJAYA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0016 | JUWITA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0017 | AYU NUR HAKIKI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0018 | SUHARTINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0019 | RIZAL TULSOLIHIN | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0020 | RUDY | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0021 | SUNARTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0022 | NURSALIM | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0023 | SURTA ARITONANG | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0024 | TIA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0025 | LUSIA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0026 | HIKMAL BADALI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0027 | TIA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0028 | MOEK SEN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0029 | TJEN NJUK LIANG | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0007 | SUMARNI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0030 | ROHANI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0031 | RAMDHANY | dr. YOGI YAMANI, SP. B | BPJS | |
| C0008 | TJOENG TJIAP FAT | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0032 | TONO SLAMET | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| D0002 | TONO SLAMET | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0033 | SYERIN CAHYA RAHMADANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0003 | TONGGO SIMANJUNTAK | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0009 | DWIMARTINI SETIAWATI DJUWARI PUTRI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0034 | HAFIS JUNIOZA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0035 | MIHARZA | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| C0010 | JULIA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0036 | LIE SUI TJIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0004 | LIE FO KHIAN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0004 | ARKHAN GHIFARI | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0037 | ARNISAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0011 | ROBIAH | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0038 | KAMARIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0039 | BERTHA SITANGGANG | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0040 | ARDHILES | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0041 | JAP TJOEN HOA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0042 | LIE KON PIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0005 | JONI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0043 | PARIDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0012 | YULIARTI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0044 | MUHAMMAD AZIZIL | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0013 | SOPIAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0014 | WILLY HENDRAYANDI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0045 | NYUK NIE | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0046 | NURSARIMA | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0005 | FELLYZA APRILIA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0015 | BOEN DJIN HIONG | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0047 | RUSMANILA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0016 | HARYATI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0048 | RUSDIANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0049 | NURHAYATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0050 | SAIMIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0051 | TUMPAL SIHOMBING | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0017 | WANISA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0018 | JAMIDAH | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0019 | SUTARDI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0020 | MARIA ERNA WIDAJANTY | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0021 | ISKANDAR | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| A0006 | SITI SYARAH RATNAWATI | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0052 | YUDIANTO FAM | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0053 | VALERIA GRACIANA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0054 | A TJIE | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0022 | RUDY | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0055 | M. NOER | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0023 | ANDRIAN | dr. GLENN ADIPUTERA TANDIAN, Sp. BS | BPJS | |
| B0056 | MIKO SYAPUTRA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0057 | AIDI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0058 | ARSETA APRIANA | dr. YOGI YAMANI, SP. B | BPJS | |
| B0059 | JUMINAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0060 | DARMA TAPSIAH | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0061 | BONG SIAT LIE | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0062 | EVA NATALIA TARIGAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0063 | JESSICA MIRALDA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0064 | MARIANI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0024 | ZAHARA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0065 | JAMILAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0066 | YULIANTI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0025 | FATHI SURURI | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0026 | NANI DANIAR | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0067 | JONG PRASCELIA AMANDA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0007 | SHAQUEENA AFISAH INAYAH | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0068 | ITA LUSIANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0069 | ADITYA NUGRAHA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0070 | FAUZAN IHWAN | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0071 | ASTARLINA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0072 | RIA HERYANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0027 | RUSTINAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0028 | RUSMI | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0029 | JUAINAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0073 | LIE PIT ENG | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0030 | YUDHI CHANDRA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0074 | MUHAMMAD HAKIM | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0075 | ADE OCTARINA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0031 | ROHANI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0032 | CHERRYLIA FARAH SAUSAN | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0033 | YULIANA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0076 | MARDIANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0034 | ENDANG HERWANTO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| A0008 | ARSYILA NOOR DINARA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| A0009 | MUHAMMAD DEVAN ALDHIO | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0077 | ZAINAB | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0078 | M QUM ISFAHAN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0035 | UNTUNG ARIS WIYARSO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| D0006 | WAODEMAISAR | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0010 | KHALID ARDHAN ZAYENDRA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0036 | SUMARNI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0037 | SARI MAULINA | dr. RISMAN SARAGIH, Sp.S | BPJS | |