| B0001 | YENNY | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0002 | DINA FEBRIYANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0003 | YULISTARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0001 | ICHSAN HAMID | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0004 | DAYANTI LUBIS | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0005 | LAY KOEIFA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0006 | IMAN JAYA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0007 | SRI WANTI PERJANUKI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0002 | MUHAMMAD ARIF WIDODO | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0008 | VITA ROYANI SIMATUPANG | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0003 | NYIMAS MEIRIAH RIDHA | dr. LINGGAWATI, Sp. THT | BPJS | |
| A0001 | KEISHA FELLICIA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0002 | SHELLA AGUSTIA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| C0004 | HERDA ANDRYANI LIDYA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0009 | YANNI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0010 | SOFIAN | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0011 | MOHAMMADONG | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0012 | EDDY | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0005 | PHANG SUI SIAM | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0013 | TJONG WE TIE | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0014 | JUNAIDI AMAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0015 | BOEN SIN HAK | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0016 | ANANDA ILMI SAKINAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0006 | SALSABILA PUTRI MAULYDIA | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0007 | SIU HO | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0017 | MIRANDA RENTYAS | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0008 | SAINA BOENARDI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0018 | CAROLLINA ANDRIANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0009 | JAFAR | dr. SHENY AGMA, Sp. N | BPJS | |
| C0010 | MINI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0019 | EVA ASTUTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0003 | ICE KUSNA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| C0011 | SUPAINO | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0012 | LISMANASARI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0020 | IRWANTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0021 | ANUAR | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0013 | YUSTIN | dr. SHENY AGMA, Sp. N | BPJS | |
| A0004 | GRYZELLA KIMBERLY | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0005 | MEGA MELIANA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0022 | HAMSIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0023 | NURHAYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0024 | MARSIA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0025 | FOE NGIT PHIN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0026 | DWI NORIKA WULANDARI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| A0006 | SHAZEA GAURI ALLURA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0027 | TOTO AIWA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| A0007 | RIZKY GILANG RAMADHAN | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0014 | SINTA WATI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0028 | NAJWAN HUDA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0029 | CHAIRISA DELWAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0030 | ADELAINA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0015 | SURYANI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0031 | ROSNA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0032 | YUNI HERWITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0033 | YUNI HERWITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0034 | FAIZA NURULITA SYAFITRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0008 | LESTARI ARBOLENDA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| C0016 | LIA MANDASARI | dr. SHENY AGMA, Sp. N | BPJS | |
| C0017 | MUFID AL FAIZ | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0035 | MUHAMAD FAJRI POERWAPRAJA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0018 | IRFANDI SETIAWAN | dr. SHENY AGMA, Sp. N | BPJS | |
| B0036 | ULFA NAFISA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |