| B0001 | MUHAMAD BASORI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0001 | YUSMINAR | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0002 | ASIAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0002 | ELDY ASIKIN MC | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| D0001 | SAMSUL ARIFIN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0003 | RANGGA AVE ARDINA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0003 | RINA KURNIATI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0004 | ROKIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0005 | AHMAD ZAKY FADHILLAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0006 | BONG DJOEN MOI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0007 | DONY APRIYANDI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0008 | NG A TJIT | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0009 | PURWATI BINTI KASMAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0010 | YULITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0011 | MUSTARIH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0012 | AERELYN BELLVANIA AGNETA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0013 | HENDY FONG | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0014 | MONIKA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0015 | RICADONNA NITA MARDENTA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0016 | FITRIANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0004 | LIE MOEI TJIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0017 | LIZAM AL AHZA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0018 | LILIS ANGGARYANI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0019 | RUDY AJI BUDIANA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0020 | RESA AGA UTAMI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0021 | MOHAMMADONG | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0022 | WINARTI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0023 | YUNI PUSPITA SARI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0024 | NOFITA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0005 | MEIDINA ADINDA HAPSARI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0006 | SOEI DJIE | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0007 | FITRIANA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0008 | M.A. DJUHARDIN ADJI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0025 | ASMAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0009 | DENIS DINATRA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0026 | SAIMIN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0027 | MEGA MUTIARA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0028 | ANANDA ILMI SAKINAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0029 | EKA SUMANTRI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0030 | VERDI JUNIRWAN | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0031 | KUSMANTO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0032 | GITA AMANDA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0033 | ROSNI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0034 | ROSNI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0035 | MEITA LISKA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0036 | MARTINA | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0037 | CAROLLINA ANDRIANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0038 | MARIA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0010 | NARA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0039 | LOLA OCTAVIARNY | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0040 | TJEN NJUK LIANG | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0001 | SAKHINAH RAHMADANI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0041 | DIKKI ZULKARNAEN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0042 | ITA LUSIANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0043 | DELINDA NETALIU | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0044 | SINTA ELVIRA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0045 | HABIBAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0011 | ROKIAH | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0046 | WIBOWO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0047 | ARMIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0048 | SISKA SARI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0049 | SISKA SARI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0012 | SITI AISYAH | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0050 | REYZHEIN SEPTIAND | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0051 | PRETTY SIANTURI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0052 | MAROLOP RAJA GUKGUK | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0053 | LIE MOEK TET | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0013 | ICHSAN AFRIZAL | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0014 | DEKI PURNA IRWANDA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0054 | SUKOTUN NAJUWA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0055 | MEYSHA NAFEEZA ALQILAH SYFA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0002 | SALMA | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| D0003 | SUPINI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0056 | ISKANDAR Z | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0057 | ZAINAL ABIDIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0058 | INDRAYANI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0059 | JENNAIRA HAYFA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0060 | HARTINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0061 | RAFIDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0062 | ILMAH OKTHARINA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0015 | DAYANG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0063 | ROSWITA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0064 | TRI SUSANTI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0065 | WAGIYANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0002 | MAHANTA WASUPATI MARTABAYA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0016 | KARIMIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0066 | HERMILA DEWI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0017 | SLAMED | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0067 | NIATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0068 | MASNAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0069 | LILIDIA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0070 | ACHMADI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0071 | SUKIAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0072 | CLARA APRILLIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0073 | DJIU TJHIU SIAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0074 | ASYILLA ZAVANIA VIRDY | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0075 | SUMARTINI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0076 | RAPSIH ELTO MUSLIMAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0077 | ZULKIFLI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| A0003 | DWIKA ALVARENDRA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0078 | MILDAZANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0079 | RADEN QORI IQBAL | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0080 | MELIA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| A0004 | SRI HASTUTI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0081 | NG NJOEK FA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0082 | SIWI NUR ASIH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0018 | STEVEN WIJAYA HUTABARAT | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0083 | N A N I | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0019 | DJUMHARI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0084 | SAKINAH KHAIRUNNISA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0085 | FAUZIAH KUMALASARI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0086 | SHAQILLA DINAZTA PUTRI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |