| C0001 | SUNOTO TJENDROJOYO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0001 | ATJHUN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0002 | KHIN NIO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0002 | MIWAN SUSANTI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0003 | NABEELA AMALIA AZ-ZAHRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0004 | MELVINA ANJELITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0005 | NORI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0006 | DILA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0007 | MUTHYA DWI OKTARIANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0008 | YOFANKA ANANDA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0009 | MUHAMMAD ADITIYA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0010 | TAUFAN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| A0001 | THALITA AZAHRA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0002 | ZAHID HAMIZAN RABBANI | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0011 | ERWINSYAH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0012 | SUPARNO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0013 | DAVID HANDERSON | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0014 | CHANG SUI KHING | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0015 | MERIZA KRISTIANI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0003 | HERDA ANDRYANI LIDYA | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0004 | SITI HERVIANTI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0016 | M. ABI LIANSYAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0017 | TERIA JOHAN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0018 | LIE SUI TJIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0005 | NG KIAM TO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0019 | LAN DJIN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0006 | YANDY ARFANDY | dr. SHENY AGMA, Sp. N | BPJS | |
| B0020 | TITI ANITA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0007 | LIE SIN LOJ | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0021 | VIKING NOVITA DEWI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0022 | VANNESSA ENJI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0023 | ADE NABILA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0024 | MEGA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0025 | DEVINA MANGKU PASMA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0026 | SURISMANSYAH | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0008 | DJAUHARI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0027 | VITA ROYANI SIMATUPANG | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0028 | ROSNI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0029 | MUHAMMAD NURUDIN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0030 | MELIYANTI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0009 | SYARIFUDIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0031 | MELITA MAYA SARI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0032 | TUNUT SUKEMI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0033 | M. FAR'AN JAWI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0034 | SITI BAROKAH | dr. YOGI YAMANI, Sp. B | BPJS | |
| A0003 | DWI ANANDA PUTRI | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| B0035 | WISNU HARIANTO | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0036 | TJO SOEN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0010 | HERLINA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0037 | EDY DJOELIA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0038 | ROSY MELISA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0011 | HERRY PURWANTO | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0012 | MARLINA INDAH PALUPI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0004 | AGHNIA ZEA ALMAHYRA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0013 | RUHILMA FAJRIN | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0039 | LOVIA UFAIRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0040 | SYAHRIA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0005 | ANAKAMI RYUJITA BAYANAKA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0014 | RINI LESTARI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0041 | CEPRINA PERDINA PUTRI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0015 | MEYNANDA ARLAN MA'RUF | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0042 | ZARMITA ANGGREIKA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0016 | AAN SUNENSIH | dr. SHENY AGMA, Sp. N | BPJS | |
| B0043 | DAHLIA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0006 | NIKITA AIRA AZZAHRA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0044 | FIRMAN TARIPAR BANGSO PARDEDE | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0045 | TRI AGUSTI FARMA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| D0001 | SUPRIYATIN | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0017 | TOGI POLIN BONAR MANGARATUA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0046 | LISDAWATI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0047 | MEI FIE | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0048 | DERA MONICA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0018 | ARIF PRADANA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0049 | AIRIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0002 | MARIS SITOMPUL | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0050 | ASMAWI | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0007 | MUHAMMAD HILMI FADILLAH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0019 | ZURYANI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0051 | JUNURIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0052 | TALITA ZAKI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0020 | SUMARTINI | dr. SHENY AGMA, Sp. N | BPJS | |
| A0008 | ELZIO DEVANKA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0053 | SUSANTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0054 | SERIYANTI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |