| C0001 | AZKA AL RAFFASYA | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0002 | SIU HO | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0001 | ENDANG MARYANI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0003 | M. SOFYAN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0002 | SISKA SARI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0003 | ROSNI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0004 | DJUNG SIONG | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0005 | RANTINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0006 | ALDARMA QENIANZO | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0007 | ROKIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0008 | ETTA PURNAMA SARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0009 | RIVA ROSELY | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0010 | ELDY ASIKIN MC | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0011 | LIM JE LI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0012 | IRVINNY ZALZA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0004 | SUMANTO | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| A0001 | ALMIRA ZAHRIN ZAHSY | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0005 | TJHIN DJUN KIEOW | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0013 | TURMUZI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0002 | HENI ROKHAENI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0014 | ANINDA GISELLA | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0015 | SUSANTO | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0006 | ASNITA WINDARI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0016 | TJOENG KHIN NA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0017 | ERNI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0007 | RENDI ARDIANSYAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0008 | YANTO ASAHRI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0018 | TUMPAL SIHOMBING | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0019 | ALDARMA QENIANZO | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0009 | WAHYUNI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0020 | AUFI IKHTIA ILMA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0010 | YUSMINAR | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0021 | ZULKARNAIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0022 | SYAMSUL BACHARI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0011 | ERNAWATI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0023 | ALSHA ZHAFIRAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0024 | DENNY JULIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0012 | A MUI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0025 | SARI MUBAROH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0026 | JONI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0013 | SUHERMAN | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0027 | HIAN HO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0028 | LIDIA ELVIRA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0029 | RUSTAM | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0030 | SUANNA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0031 | LIDYA MUSTA LELA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0032 | ELMA SUTIA YANTI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0033 | NURYAUMI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0034 | BONG KHUN NON | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0035 | EDASARI VACOLINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0036 | HERYATI ALIYUDIN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0037 | IRA ARTIKA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0038 | SITI KHADIJAH, S.PD | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0039 | NURHAYATI ANDERIANI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0040 | NADHIRA RISYIFA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0041 | MERISA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0042 | KARTINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0014 | ENDANG HERWANTO | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0043 | SUPRATMAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0044 | HERWANSYAH | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0015 | KORYATI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0045 | META NOVI ROSALINA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| A0004 | SUNDARI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0046 | ANGGUN MURNIATI SIREGAR | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0016 | KIM NI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0047 | MIN TIN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0017 | LIE SIOE DJIN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0048 | JUANA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0018 | RITA DIANA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0049 | M. YANWAR | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0019 | DAUD HUSAINI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0050 | LIM SOEI TJHIN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0051 | MANTA RENTA LUBIS | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0052 | SUMIANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0020 | MARLIANA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0053 | LO DJOENG KHO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0054 | BONG SIN WAY | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0021 | FEN LOE | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0055 | RESTU HAYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0056 | SEJASTERA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0057 | SULAIMAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0022 | JUMAILA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0058 | RIZAL | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0059 | ZALNA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0023 | SUPARDI AZAM | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0060 | PARASIAN SIREGAR | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0061 | NURAHMAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0062 | ROMLI BIN MACHRUF | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0063 | ISMAIL ADI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0064 | MARIAM | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0065 | ZALVIANY GHANISA PRATIWI | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0066 | DANIEL INDRAGIRI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0024 | SUSANTI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0025 | KARYAN KAHAR | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0026 | ERCO RAMADHON | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0067 | ROHIDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0068 | WIBOWO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0069 | NGADIMUN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |