| B0001 | ANITA DEWI SORAYA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0002 | DINA FEBRIYANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0003 | NINING KURNIASIH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0004 | ERNIJANTY THERISITHA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0005 | AUDI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0006 | NG MIE JOEN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0007 | SARIPA AINI LUBIS | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0001 | ERPANI TURISNO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0002 | EFFENDI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0008 | SUNARSIH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0003 | YANTO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0009 | SRI WAHYUNI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0004 | NURDIANA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0010 | FANY NOVRIYANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0001 | MARSONO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0011 | MIMIE HARTINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0001 | REVI FERDIANTO | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0012 | SAVINA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0013 | MITA SEPTIARI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0014 | GALIA ANDINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0015 | FIKI FEBRILIA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0016 | JURIA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0017 | HASAN BAKERI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0005 | ASDALENA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0002 | ANGGUN UMROH | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| B0018 | QUON SUKARDI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0019 | HUZAIMAH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0020 | HABIBAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0006 | LINDA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0021 | LOGER | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0002 | MAT JAIS | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0022 | IIN ANGGRAINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0023 | SALSABILA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0024 | SALSABILA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0003 | AKBAR SAPUTRA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0025 | NORA GIANDRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0026 | AIDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0007 | IRMA LINDA WATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0008 | SUSANTO | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0009 | RINCE | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| D0003 | BOEN LIE LIE | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0027 | RUSMANILA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0028 | TRI TOHAROH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0029 | JOKO PRAYITNO | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0030 | MILDA UTAMI DEWI LUBIS | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0031 | YUDI OKTRIADI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0032 | YUWANDA OKTARIANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0033 | ARNISAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0034 | TIANI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0035 | IRWANTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0036 | RIZAL | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0037 | TAMRIN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0010 | AIRIA | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0011 | YUL BENNY | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0012 | SE KUAN MOY | dr. SHENY AGMA, Sp. N | BPJS | |
| C0013 | MUHAMMAD SABIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0038 | PARIDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0039 | MEGA PERMATASARI CHANDRA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0040 | ASRI USPAMIYANTI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0041 | DAHLIANA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0042 | JUSTITIA WILIS RESTUTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0043 | BAHARUDIN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0044 | SYARIFAH HALIMATUSSAKDIAH | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0045 | EKA SONDINI MEITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0046 | SHEREN OLIVIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0047 | TJEN NYUK NYUN | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| D0004 | HAMISAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0048 | MARDIANA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0049 | IQBAL RAMADHAN | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0050 | TJEN A KIM | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0051 | KARINA RAHMADANI | drg. RETNO JAKA UMBARA, Sp. Ort | BPJS | |
| C0014 | TJONG SAK TJIE | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0052 | SURYANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0053 | MILDA UTAMI DEWI LUBIS | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0015 | ANDIKA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0054 | HADI SATYA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0055 | MIRA SUSANTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0056 | ROSY MELISA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0016 | DEDI AMRULLAH | dr. SHENY AGMA, Sp. N | BPJS | |
| C0017 | MARIA MAGDALENA INTJE | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0057 | FENIATI SUDANTO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| D0005 | YUSNIMAR | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0018 | YUL BENNY | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| D0006 | FENY DWI LESTARI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| A0004 | SHEENA GANIA PRATAMA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| D0007 | MONANG | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0058 | MARIA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0059 | SUPRIYATIN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| D0008 | SYIHABUDDIN | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0060 | KHAIRUNISSYA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0061 | ANITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0005 | EKA DAMAYANTI | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| B0062 | ERWIN | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0063 | MUHAMMAD RIZAL UMAMI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0019 | JUAINAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0064 | FREDI GUNAWAN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0009 | ISHAK | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0065 | RINDANG TANJUNGSARI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0020 | NARA | dr. LINGGAWATI, Sp. THT | BPJS | |
| A0006 | DOMINIC VARTA PRAYUDINATA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0066 | MARDIANA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| D0010 | IBROHIM | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |