| B0036 | A MUI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0066 | ABDUL MUN'IM | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| D0003 | ACHMAD ROCHENDI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| A0004 | ADELIA MIKHAYLANI PRATIWI | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0034 | ADIK DEWI GUNTARIE KENCANA KARTINI MS | dr. SHENY AGMA, Sp. N | BPJS | |
| B0003 | AHMAD ARLIS | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0005 | AISYAH TALITA SAKHI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0004 | AMOI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0064 | ANDRA YASSA FIQIH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0031 | ANITA TRIANA SARI | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0035 | ANUN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0029 | ANWAR SALEH SIMAMORA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0026 | ARI PRANATA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0024 | ARKA FAJAR SAPUTRA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0022 | ARYANI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0049 | ASEP SETIAWAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0061 | AULIA FAHRANI | drg. F.X. DODDY SETIAWAN, Sp. Perio | BPJS | |
| C0017 | AZKHIYA CHALISTA | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0013 | BENNY SETIAWAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0016 | BOEN MIE FIE | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0007 | BONG DJIN KHIONG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| D0009 | BONG KIAN FO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0013 | CHANG NINIE | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0030 | DARWATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0012 | DAVI AKBAR | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0025 | DEVI YULIANA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0004 | EFFENDI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0060 | ELWAN HILALI PUTRA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0039 | ERNI WULANDARI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0006 | ERPANI TURISNO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0056 | ERWAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0003 | EXCEL AMELIAS | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0047 | FARIDA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0015 | FARIZAL AKBAR | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0034 | FERLINDA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0067 | FIRANDA KIFRAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0024 | HARTO | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0012 | HASAN BAKERI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0015 | HASMULYANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0063 | HENSI OKTAVIA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0043 | HERMAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0008 | HIE SOEI PHIN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0016 | HUZAIMAH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| D0012 | IBROHIM | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0018 | IDA PRIATNI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0020 | IDA WIDIARTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0022 | IZHAN | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0006 | JUSTITIA WILIS RESTUTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0009 | LIE SUI TJIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0018 | LILY SEPTRIANI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0038 | LIM MIE DJIN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0014 | LINDA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| A0002 | LOLA LOLITA FREZENTA | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| B0048 | LUSI RISKA SARI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0023 | M DIMYATI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| D0007 | M.HENDRA RUSDANI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0058 | MAHDA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0033 | MAHMUD | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0008 | MANSURSYAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0033 | MARDI PUDJONGGO | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0025 | MARLIANA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0057 | MARYATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0051 | MELVINA ANJELITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0004 | METI HARMELI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0001 | MINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0053 | MIRA SUSANTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0001 | MIWAN SUSANTI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0027 | MUHAMMAD SABIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| D0011 | MUIDA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0011 | MUNASIAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0030 | MURNI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0003 | MURNI | dr. SHENY AGMA, Sp. N | BPJS | |
| D0010 | MURPRIANTO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0054 | NABILA PUTRI AULIA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0035 | NANA ASPIRA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0046 | NGIAT NON | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0042 | NILAM HATIKA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0062 | NINA REHULINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0007 | NORPA FANFANY | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0008 | NURITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0002 | PAUSA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0027 | QUON SUKARDI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0002 | RAFIQI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0019 | RATINI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| A0001 | REVI FERDIANTO | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| D0006 | RIDYA NATA DELIYANTI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0019 | RIDYA NATA DELIYANTI | dr. SHENY AGMA, Sp. N | BPJS | |
| C0029 | RIFQI ALMUDZAKI | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0032 | RINCE | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0065 | RISMAYASARI | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0005 | ROPIAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| D0001 | ROSANAN | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0026 | ROSDIANAH | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0023 | RP. RUSTIANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0050 | RUDI SUPRIYADI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0028 | RUSNI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0041 | SAK A DJANG | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0010 | SARI MAULINA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0037 | SARTINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0010 | SARWONO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0036 | SAUW DJUNG | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0014 | SILVIA VANIA INDRIANY | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0009 | SISKA ARIFIN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0005 | SJAIFUL ANWAR | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0002 | SRI MULYANTI NINGSIH | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0021 | SUDIRMAN | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0045 | SUHAILI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| A0005 | SULTHAN DZAKY ATHAYA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0052 | SUMIATI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0032 | SUSMIATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0020 | SUSMIATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0044 | TJEN NJUK LIANG | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0011 | TJO SOEN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0028 | TJOE NGIAM LEW | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0021 | TJONG SIOE LIAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0055 | VIKA AISA BILA ANGGRAINI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0031 | WITA ARSA NOVA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0059 | WIWIN VIVI ANGGRAYANI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0017 | YANDY ARFANDY | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0040 | YULIA MARINA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |