| B0001 | DAMHURI B DAHLAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0001 | DEKI PURNA IRWANDA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0002 | TARA SEPTIRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0002 | ALYA SYAHDIVA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0003 | SIGIT HERIYANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0004 | HARIANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0003 | AULIA RAHMAN NAINGGOLAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0005 | MARTINA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0006 | MIE YING | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0007 | SRI ROHYATUN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0008 | SUMARDI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0004 | DEA DEKRISNAWATI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0009 | ROSANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0010 | SITI NURHAYATI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0011 | CANDRA | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0001 | BUN KHAI KHIONG | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0005 | H. PADRI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0012 | TJHIN NYUK MEN ALIAS HARMEN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0013 | RUKIAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0014 | MARYANTI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0015 | DAWI MASDAR | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0001 | FITRIANA HANDAYANI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| D0002 | DESTI RIZKINARTI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0006 | SUMANTRI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0016 | SOLIMAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0003 | ASIM | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0017 | SUSANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0018 | MARSIA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0002 | ROLAWANTI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| D0004 | MIE MIE | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0019 | PARTINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0007 | YUN YING | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0008 | MUSTARIH | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0020 | AHMAD ARLIS | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0021 | INDAH SAFITRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0022 | SUMIYATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0023 | KEMAS HASYIM | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0024 | M. MUSLIMIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0005 | SRI KARTINI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0025 | SUBEIRAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0026 | FITRIANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0006 | FAHRORROZI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0027 | MARIANI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0028 | LIE MUK SEM | drg. RINDANG TANJUNGSARI, Sp.PM | BPJS | |
| B0029 | MINARNI | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0030 | CLARESTA NUR SALSABILA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0031 | YOLANDA AVITA PUTRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0032 | APIPAH | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0033 | A DANISH RIZKI NUSIRWAN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0034 | LISWARNY, SH | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0035 | LISWARNY, SH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0036 | YULIATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0037 | MANITUN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0038 | SUDARMAJI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0039 | CHINTYA NATALIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0040 | FADHLURRAHMAN FAJARI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0041 | ISMA RINI NINGRUM | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0042 | YUDI ADI SANDRA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0009 | BAIDAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0003 | OLIVIA ROSZANA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0043 | DESTRA AL HAFISH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0044 | DODI PRAYOGO | dr. NOVIA NASIR, Sp. M | BPJS | |