| B0001 | WALIYEM | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0002 | LULU DWI RACHMA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0003 | FATIMAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0004 | HIRWAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0005 | ARPANDI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0006 | SUFEBRUNADI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0007 | MUAWWANAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0008 | LEREZAM | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| D0001 | BONG DJIN KHIONG | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0001 | SUMANTRI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0009 | RISKI PERTIWI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0010 | ANITA DEWI SORAYA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0001 | SINTIA CALOREN | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0011 | SULASTRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0012 | ROSMALA DEWI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0002 | ROMLA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| A0002 | MUHAMMAD FARHAN ARJUN | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0013 | ERNA RITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0014 | UMI RUMAN LUTFIAH KHIROM | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0015 | LIM FOE MIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0016 | AZIZA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0003 | MUDAHKIR | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0004 | HAMDAN SIREGAR | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0017 | MISNAWATI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0003 | SEPTIANI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0005 | LIOE TJHOI HIOENG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0018 | ABDUR ROHMAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0004 | SAIDA SIREGAR | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0006 | ASLI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0007 | DJAP SOEIJ LIE | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0019 | SUYANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0020 | HAFNISAR | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0008 | TJONG SUI LIE | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0005 | AHMAD AZAM | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0021 | SANIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0022 | RUSMAN | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0009 | MUK TJIAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0023 | TONGGO SIMANJUNTAK | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0010 | TONGGO SIMANJUNTAK | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0024 | SURVANSYAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0025 | LAURENSIUS SUMARDJO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0026 | HAFIS JUNIOZA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0027 | MELYSA ANDANI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0028 | ASRI USPAMIYANTI | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0029 | CHANDRA | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0030 | MEIZYA ZEFANYA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0011 | LIM DJOEN KAUW | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0031 | MUHAMAD FAJRI POERWAPRAJA | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0012 | KWET SIUN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0013 | SUPAINO | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| D0002 | RUSMIDA | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0032 | AMERTASARI SUMITOMO | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0033 | ROZIANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0034 | AGATHA INDARWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0014 | SUANNA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0006 | NINIK WIDYAWATI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0015 | SUSANTO | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| A0007 | SARKIYEM | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| A0008 | SILVIA OKTAVIANTI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0035 | ISKANDAR ISHAK | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0036 | DJULIA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0037 | ANDRI NOVIANSYAH PUTRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0016 | ZAHARI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0038 | RIZALDI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0039 | RISKI RHAMADITA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0040 | OKY SAPUTRA | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0041 | SRI SEPTIARINI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0042 | CANDRA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0043 | FAUZAN ADITYA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0017 | RICKI M | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0044 | YENNI ANGGIANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0018 | MUK LAN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0019 | ZULYA DEINI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0045 | JANNI TERTAWANA | drg. F.X. DODDY SETIAWAN, Sp. Perio | BPJS | |
| C0020 | LADYSA AZZAHRA SIAHAAN | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0046 | ZUHKANDI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0047 | PONIRAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0048 | CHAYA ULAN RAMADHANI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0049 | NOVITA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0021 | JELITA | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| A0009 | SYIFA AZAHRA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0050 | HAYUMI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0051 | MINTARJA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0022 | AUWATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0052 | RIA WULANDARI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0053 | REIZDAH NEALA AZMYA KURNIADI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0054 | ARYANTI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0023 | WIRNA OKTARINA | dr. DYAN EKASARI, Sp. An | BPJS | |
| B0055 | M. AMIN SU'I | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0056 | TJONG SIOE LIAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0010 | AI LINDA WANGSIH | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| A0011 | YURIKA APRILLIA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0057 | SRI KAYATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0058 | MARINI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| D0003 | LIM A NIE | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0012 | ELVANO SYAQI ROHMADAN | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0024 | FAUZAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0025 | FAUZAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0026 | NURSIYEM | dr. DHIETO BASUKI PUTRA, Sp.KFR | BPJS | |
| C0027 | DJAHUN DJOHANA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0059 | M. NAZIR. AR | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0028 | IIS KARMILA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0029 | MARDINEM | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0060 | WINARTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0061 | KUSPERAWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0030 | SAIDATUN NISSA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0013 | DIANA VIRAGIANTI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0031 | SADI'UN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| A0014 | FATIMAH AZZAHRA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0062 | MUSLIM | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0032 | NAFISAH KHAIRANI | dr. LINGGAWATI, Sp. THT | BPJS | |
| D0004 | FAHRORROZI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0015 | MUHAMMAD KHALIFAH HANIF | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0063 | DIKA ARIYANTI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| D0005 | SURIATI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0033 | M. NASIR HASAN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0064 | ISMA RINI NINGRUM | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0065 | TRIE AGUSTINA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0066 | BINTANG MAHARDIKA PUTRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |