| B0001 | GHESA RULENZA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0001 | MUHAMMAD ARIF WIDODO | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0002 | MELYSA ANDANI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0002 | AGUSTINA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0003 | RISKI RHAMADITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0004 | SUKIATI SAMSUDIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0005 | BING SUARNO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0006 | BING SUARNO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0007 | NURYAUMI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0008 | ALAU WIAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0009 | ENDANG MARYANI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0010 | DANIEL INDRAGIRI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0011 | FITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0003 | SUGIATI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0012 | RISKIE RELICA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0013 | SUDARMAJI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0014 | SIGIT HERIYANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0015 | LINDAWATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0016 | TAMRIN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0004 | TAMRIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0005 | ARYANI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0017 | TRI INDAH SARI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0018 | SAFARAZ AZALIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0019 | LAURENSIUS SUMARDJO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0020 | ZULAIHA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0021 | JAMILAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0022 | SUMANTRI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0023 | SENDY GUNAWAN ONG | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0024 | DESI WIDIYATI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| D0001 | TJONG MUK TJHOEI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0025 | SISKA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0006 | ANDRIAN | dr. GLENN ADIPUTERA TANDIAN, Sp. BS | BPJS | |
| D0002 | YESSY PRATIWI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0026 | MUSTARI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0027 | WILNARDI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0028 | JUNURIAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0029 | SITI SUBAIDAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0030 | SANTI AKTIFIRANI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0031 | SUHARDI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0032 | MUHAMAD REIHAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0033 | SARJIMAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0034 | EDASARI VACOLINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0035 | RHAVI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| A0001 | KURNIAWATI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0007 | YANTO ASAHRI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0008 | PONIMAN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0009 | KORYATI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| A0002 | MUHAMMAD DYLAN AL FARIZQI | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0036 | MARIAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0037 | HARTONO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0038 | NURAINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0039 | SUCI SALSABILA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0040 | SAMSUL BASRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0041 | ZAINUR | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0042 | MURNI RISTIKA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0043 | A MUI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0010 | IRWANSYAH | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0044 | ZUBAIDAH | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0045 | SITI NUROHMAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0046 | LINTANG LINDAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0047 | MARYAM | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0048 | NGADIMUN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0049 | ISKANDAR Z | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0050 | ERNI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0051 | KIRANI MUFTIA SALSABILA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0052 | KIRANI NAYLA TSABITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0011 | ANWAR. S | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0012 | YASA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0053 | YULIANTO UTOMO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0054 | FENNY | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0055 | WIBOWO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0003 | LIE LIE | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0056 | AMINAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0013 | ANGGA SAPUTRA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0057 | MUHAMMAD KAIVAN ABDAR | DR ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0058 | MARUHELLAUDY CHASELA F | DR ARINAL PAHLEVI, SP.D.V. | BPJS | |
| C0014 | RINI FITRIANI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0059 | LIDYA MUSTA LELA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0060 | KEYZIA ANANDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0061 | MALIK | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0062 | TJEN A EN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0063 | MARIA ARIFIN SUSANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0004 | PUJI LESTARI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0064 | ISMA RINI NINGRUM | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0065 | FITRAH ALAMSYAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0066 | HAMSINAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0015 | RIDYA NATA DELIYANTI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0067 | MELIYANTI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| A0005 | RATU INTAN MUTIARA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0006 | AYUNDA ADIBA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |