| C0001 | SU'ADAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0002 | ASMAYATI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0003 | ANTONI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0001 | RUTH INDRI ASTUTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0004 | SUCIPTO | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0002 | PERASANTI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0003 | YULIA MARINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0004 | DJAP A KAIJ | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0005 | SUHARMIN | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0005 | ARTIKA AHWA AZZAHRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0006 | DARMINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0006 | AMRI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0007 | MERRY MARSELA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0008 | GUNI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0009 | JUSTITIA WILIS RESTUTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0007 | NOVITRIANA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0010 | SUHARTINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0011 | KHAEREZA YULFAJRIANSAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0012 | SITI ARSINA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0008 | DJAHUN DJOHANA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0013 | FANY NOVRIYANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0014 | LIE SUI TJIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0015 | ARIES PRAYOGA IKBAR | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0009 | WAHYUNI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0016 | AHMAD SHOLA HUDDIN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0010 | NGIAT THIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0011 | YUL BENNY | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0012 | YULIZAR | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0017 | RAFIZI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0013 | INDRA KRISNA NUGRAHA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0014 | RICKI M | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0015 | LIENA AIFEN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0018 | IMAM DAUDY | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0019 | RINI FITRIANI | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0020 | TRI INDAH SARI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0016 | SUTARSIH | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0017 | JUARIN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0021 | ROMLAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0022 | ANISA AULIA RAHMA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0023 | WENDI PRATAMA SALIM | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0018 | SABAR ALI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0019 | BONG KHUN NON | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0020 | LINDA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0024 | LIE SUI LONG | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0025 | LIM NGIAT MOI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0026 | ENDRO ARIANGGA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0027 | HASANAH | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0028 | SAHLAN RIZKY AKBAR | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0021 | SUMARLAN SUDARWA T | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0029 | MARIA AGNES TRISNANI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0022 | ASLI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0030 | ARYANI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0031 | HANDOKO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0032 | DEWI SHINTA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0033 | MEGA PERMATASARI CHANDRA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0034 | SAMUEL APRIO | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0023 | ANNASTASYA PUTRI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0024 | KARTINI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0035 | POPO JULIHARTOPO | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0025 | HAU HAU | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0036 | MEDITA ANUGRAH | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0037 | HAIDAR RIZALDI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0026 | AINI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0027 | RINDA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0028 | RINDA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0038 | DENNY JULIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0029 | RUSDIANA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0030 | RINCE | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0039 | SITI HALIMA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0031 | SAIRAH | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0040 | ENI | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0032 | SIU HO | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0033 | ERRIN MEILANNI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0041 | ANINDA GISELLA | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0042 | YUNHAR NURSALEH | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0043 | FENIATI SUDANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0044 | SUSTINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0045 | NYIMAS MEIRIAH RIDHA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0046 | DALHARI | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0047 | RAFI RAFAEL | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0048 | MUHAMMAD ALWI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0049 | KELVINA APRILIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0034 | DENI RISNAIDI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0035 | SYAMSIAH | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0050 | SYAMSIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0051 | JUNIAWATI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0052 | ANDINI AMELIA PUTRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0036 | ICHSAN HAMID | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0037 | LIZA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| A0020 | ALHANAN GHIBRAN KURNIAWAN | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0053 | AUDI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0054 | ABDUL MUN'IM | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0021 | MUHAMMAD DEVANO EL FATIH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0038 | HANANIA HAFIZAH | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0039 | MARIA NELY MU'TAMIRIN | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0040 | ALIDA BIN DERUSIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0055 | MARSANA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0041 | RENY ROSMAIDA TAMBUNAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0042 | TRIANA KURNIASIH | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0043 | DEA DEKRISNAWATI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0056 | LISDAWATI | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0044 | RIDYA NATA DELIYANTI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |