| C0001 | CHEALSY XENA AUDREY PHINTA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0001 | RINDANG PRASTIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0002 | SUPI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0003 | TULUS WIDHI YUDA PRAWIRA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0002 | RIVANI SYAHFUDDIN | dr. SHENY AGMA, Sp. N | BPJS | |
| C0003 | HERMAWATI | dr. SHENY AGMA, Sp. N | BPJS | |
| C0004 | TASLIM | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0004 | JUNIYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0005 | FITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0005 | MARSONO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0006 | VELLYSIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0007 | YUNI PUSPITA SARI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0006 | ELSANA SITUMORANG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0008 | VELLYSIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0007 | ARDIAN THEN | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0009 | MISNI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0010 | R. SUBARDIANTINI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0011 | NG MIE JOEN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0012 | LINDAWATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0013 | FERMANSJAH THOMAS, SH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0008 | DJAUW ASOET | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0014 | BONG SAK PO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0015 | SUCIPTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0016 | RAHMAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0017 | BONG MUK LONG | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0009 | KINAR MAIZA ZHAFIRA | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0010 | ANGGUN APRILIA | dr. LINGGAWATI, Sp. THT | BPJS | |
| A0001 | QANITA LASHIRA SIMAMORA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0018 | RISKI RHAMADITA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0011 | DIDIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0012 | RINI FITRIANI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0013 | MUHAMMAD NAUFAL AFKAR | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0014 | TAMRIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0019 | SUTRIANAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0001 | M.HENDRA RUSDANI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| D0002 | MANSURSYAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0015 | RINCE | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0016 | SIONG KHIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0017 | SULASTRI | dr. SHENY AGMA, Sp. N | BPJS | |
| C0018 | RUSNI DJUWITA | dr. SHENY AGMA, Sp. N | BPJS | |
| C0019 | DJAUW MEN KHO | dr. SHENY AGMA, Sp. N | BPJS | |
| B0020 | FAHRA JULIANDRI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0020 | YOCHANAN INDROYONO | dr. SHENY AGMA, Sp. N | BPJS | |
| B0021 | EDASARI VACOLINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0022 | MUSTAPA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0021 | PONIMAN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0022 | MUHAMMAD FAISAL AKBAR | dr. SHENY AGMA, Sp. N | BPJS | |
| D0003 | ERNI MARLINA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0023 | RODAINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0024 | ANI PIDA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0025 | YUNI PUSPA NINGSIH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0026 | RENNIAR | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0027 | HARTONO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0023 | ZURYANI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0028 | ZUSMILA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0029 | DARMA TAPSIAH | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0024 | LOE A FOENG | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0030 | SANIMA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0025 | HAU HAU | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0026 | DJAUW MIE JIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0031 | MULYADI SUPRATMAN | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0032 | SUHARSIH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0033 | A SYARNUBI MS | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0004 | NURLANLI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0034 | JOKO TRIWIDO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0002 | QUEENBY MEINA FERIZQIA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0035 | SUHADI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0027 | RIZAL | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0037 | SAUNI S | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0038 | H.MUSTIADI HAMID | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0039 | JUNI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0028 | RITA DIANA | dr. SHENY AGMA, Sp. N | BPJS | |
| C0029 | NURHASANAH | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0030 | MURNI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0040 | EDY SOFIYANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0031 | BURHAN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| A0003 | RAFIF KHALID AKBAR | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0041 | NELLY ZAVIANA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0042 | SULASTRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0032 | RITA TUTIRAH | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0043 | DJUNNAIDI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0044 | DJUNNAIDI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| C0033 | SAUW DJUNG | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0045 | SARMINI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0046 | PRICHILA RAHMADINI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0034 | ABDUL SAMAD | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0047 | KOMARUDIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0048 | KASNI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0049 | NORI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0004 | KALUELA ARSYILA MYESHA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0035 | INGAT DWITA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0050 | ABIYYU JAVID RABBANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0051 | YUDISTRIAWAN | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0036 | LISTIYA ROMADHONA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0052 | ASMAWATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0053 | SONY | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0005 | ARSAKHA ZAYN ONALDI | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0054 | BING SUARNO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0055 | DARWIS | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0056 | ARSIMAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0006 | RIKA RAFITA | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| B0036 | JOKO TRIWIDO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |