| C0001 | NO'U LUKITASARI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0001 | H .SAMAD ADIL | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0002 | KALMIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0003 | RIADINA RITONGA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| D0001 | HERI SUTISNO | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0002 | MOHAMMADONG | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0003 | SULANINGSIH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0004 | ROKIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0004 | YANTO ASAHRI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0005 | RIFKY AULIA WAHYUDI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0006 | SUTIK | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0007 | MUDAHKIR | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0008 | RUDOLF PASARIBU | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0009 | YATNO DIONO | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0005 | ROSIDA MANURUNG | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0006 | DAISY ROSSANDRA SITOMPUL | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0007 | YULITA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0001 | KENZIE AZKA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0008 | DAMSIR | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0010 | MUK LAN | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0011 | YUNI PRANITA | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0009 | IRWANTO | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0010 | WARTINI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0011 | ERNA RITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0012 | KEYSHA GELIASTARA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0013 | HJ. RUSMANAH | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| A0002 | KAYLA AURELIA MAUGIA / BAYI ANGGIA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0012 | EN TJOENG | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0014 | SURYANA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0013 | SIU HO | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| A0003 | DARRELL ALDRICH DEVANNO | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0015 | AHMAD TANTAWI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0016 | ADE OCTARINA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0017 | LIOE KHIE LIM | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0018 | SOPIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0019 | WELING | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0020 | ASNAINI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0014 | SIALI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0021 | SITI QOTIMAH | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0022 | DJAMALIYAH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0023 | BELURI USMAN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0015 | TJHIN KIM LOY | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0024 | SUKATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0025 | SUKATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0002 | KUSMA BETY | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0016 | SAINI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0004 | LARASATI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0017 | SUBAIDAH | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0018 | TJEW WAN PI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0019 | DIRA KORINA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0026 | UJANG RISMAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0027 | RIVA ROSELY | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0020 | SULASTRI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0028 | TJONG JUN SIAM | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0029 | AQILA LATHIFAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0021 | TJHIN LAN TIE | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0030 | MARIA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0022 | HASUBAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0031 | THALITA GRACIA GINTING | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0032 | GADISYA MUTHIA ARINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0033 | HERAWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0034 | TJHIN FAT TJUNG | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0005 | SUI LIE | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0035 | MARSIA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0006 | MUHAMMAD ISMAIL | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0023 | FIKRI AFRINDRA | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0024 | ZAINIAH | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0025 | M. ARAS | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| D0003 | ZAINUR | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| D0004 | BAHARUDIN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0026 | SARAH APRILIA | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0027 | ARYANTI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0036 | AMBAR WINANINGSIH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0028 | DANI FAJRUL HIDAYAT | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0037 | IRWANTO | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0038 | EVI SUMIATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0039 | UJANG URIP | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0040 | SUBARIS WIJAYA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0041 | YUSDA NING AYU | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0042 | ANTO MULYANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0043 | RIFA AULIA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0044 | FAUZIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0045 | DARLIS SAPUTRA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0046 | ENDANG PURWANINGSIH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0047 | WINDY PARAMITHA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0029 | SURYANI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0007 | YULIYA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0048 | RUSMAWATI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0008 | DINI FEBRIANI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| A0009 | AHYA SETIA NINGSIH | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0049 | MUHAMMAD TSAQIB KHOIRUL ANAM | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0050 | GITTA AMANDHA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0051 | DESY VIVIYEARTY CHRISTINE | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0052 | SAMDAYA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0030 | M. ARSYAD | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0053 | ANISA LARASATI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0031 | MUSRIKA | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |