| B0001 | SUKIATI SAMSUDIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0002 | KARMIDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0003 | RIADINA RITONGA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0004 | FITRIANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0005 | SISKA SARI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0001 | ROKIAH | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0006 | YULITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0007 | SITI ASMAH | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| C0002 | HERLINA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0008 | CAROLLINA ANDRIANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0009 | SIHARMAN. M | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0010 | LIAN TJHIN | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0011 | TJHIN FAT TJUNG | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0012 | BONG DJOEN MOI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0013 | ITA LUSIANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0001 | SAKHINAH RAHMADANI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| A0002 | SAKHINAH RAHMADANI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0014 | MUHAMMAD KAIVAN ABDAR | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0015 | ROKIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0016 | STEVEN LIUS | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0017 | LIANA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0018 | VIKA AISA BILA ANGGRAINI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0019 | SUPINAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0020 | HJ.NYIMAS SYUFRIENI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| A0003 | SETIANINGSIH | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0021 | AHMAD ZAKY FADHILLAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0004 | I N G G R I D | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0003 | EDY ERWAN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0022 | ATALA RASQA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0023 | JULIA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0024 | BAYANAKA NATHA MAULANA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0025 | TJEUW KHIOEK TJHAIJ | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0026 | BONG KHIOEN NIT | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0005 | DEWI JAGA PUTIH | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0027 | MELIANA MEDO ROHY | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| A0006 | SINTA OKTALINA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0028 | LIZAM AL AHZA | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0007 | STIFFANY THENDY CLAUDYA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0004 | SRI KAYATI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0029 | VENNI APRILIA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0030 | TJEN TJIAN TJIAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0008 | MEGA AGUS SUSILA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0031 | SHERREN FRANSISKA PUTRI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0032 | FASYA PUTRA DINATA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0033 | DIKKI ZULKARNAEN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0034 | RAHMAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0035 | NINDIA MARVIZA FITRAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0005 | RISKI KUSTINI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| D0001 | YAVITA SARI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0036 | RUSDIANTO | drg. F.X. DODDY SETIAWAN, Sp. Perio | BPJS | |
| B0037 | ARMIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0038 | AMBAR WINANINGSIH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0039 | AFGHAN REALL WINATA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0006 | BARDINI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0040 | HIAN PIN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0041 | ANWAR SUSANTO | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0042 | ENNY MAULINAR | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0009 | SITI AISYAH | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0043 | DESTI WULANDARI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0044 | LYA NATALIZZA EL NAFIRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0045 | MUHAMMAD ILHAM ARIFIN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0046 | BASUKI | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0047 | FIAZ MEYDIKA AKBAR | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0048 | ARTIKA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0010 | NADIA NOFARINDA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0049 | MARITA DHARMAYANTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0007 | SOEI DJIE | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0050 | ELMA SUTIA YANTI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0011 | AHMAD KEENAN ALFATIH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0051 | REYHAN MAULANA SYAHIB | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0052 | LO DJOENG KHO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0012 | DEVITA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0053 | NIZAR AHMAD FARID | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0054 | SUTOMI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0055 | ROSWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0056 | KARMILA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0057 | ROZIKA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0058 | SUSILAWATY | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0059 | WISNU WARDOYO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0060 | ABRIZAM NURDIANSYAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0061 | SILVI CINTIAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0062 | ERIDAWATI AMBARITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0013 | AGHNIA ZEA ALMAHYRA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0008 | GUNIARTO | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0014 | JURIAH | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0009 | RENY ROSMAIDA TAMBUNAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0063 | RUSDI ISKANDAR | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0064 | KHOIRUNNISA AFREDIMA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0010 | SUGIARTO | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0065 | MUHAMAD HAFIZ RUSNANDAR | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0066 | FADILA ARMANNIA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0067 | SURTA ARITONANG | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| A0015 | NICO TEJAPRATAMA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0068 | KASRI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0069 | LINA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0070 | AMOI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0071 | NURMALIA | drg. RINDANG TANJUNGSARI, Sp.PM | BPJS | |
| B0072 | FIRANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0073 | ASEP SETIAWAN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0074 | ZALNA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0075 | ASMAWATI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0076 | LUKMAN WIJAYA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0016 | AQSHA CALIEF ALSAKY | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0017 | AQSHA CALIEF ALSAKY | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0077 | MAISYAROH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0078 | MUJAHIDIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0018 | YURISKA BAYU | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0079 | MUHAMMAD AMMAR HAKIM | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0080 | RAYFANDI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0081 | KRISTIN | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| A0019 | AQSHA CALIEF ALSAKY | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0082 | KIRANI MUFTIA SALSABILA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |