| B0001 | MAKMUR. K | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0002 | AURIEL PUTRA WIHANTARA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0003 | MUHAMMAD FARRAS HARKA MA'RUFI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0004 | ASYAM HAAFIZH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0005 | SUSANTY | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0006 | RUSTIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0001 | VITA | dr. SHENY AGMA, Sp. N | BPJS | |
| C0002 | SUKARMI | dr. LINGGAWATI, Sp. THT | BPJS | |
| D0001 | ALTIANTI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| D0002 | MINI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| D0003 | PAJRIAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| D0004 | DORA DONATU | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0007 | KIM NI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0003 | BENNY SETIAWAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0008 | ASSYLA ADELIA AZKA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0004 | SISKA ARIFIN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| D0005 | SADERI AMAT DAMIRI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0009 | ARTA FLORIDA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0010 | GUIDO FRANSISKUS SIBORO | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0005 | JAP TJOEN HOA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0011 | LIANA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0006 | YUDHI FIRDAUSI PUTRAMA | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0007 | BOEN MIE FIE | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0008 | NURLINA HUTAPEA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0012 | ZAIDAH | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0013 | JAKA YULIAN ARADYA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0009 | SISKA ARIFIN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0014 | AMIRAHMI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0010 | AULIA RAHMAN NAINGGOLAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0011 | DERRICK YUEN KHO | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0012 | CIAP SUN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0015 | AZWARI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0016 | MAMLUATUL HIKMAH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0017 | YOLANDA AVITA PUTRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0018 | HISYAM ABQORI FAKHRIYANTO | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0019 | MISNGATUN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0020 | DEVI FRANSISKA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0021 | PAINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0022 | PUJI LESTARI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0023 | SUMARNI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0024 | AZIAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0013 | BONG DJIN KHIONG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0025 | JUN YING | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0014 | RADEN DEDY SAPUTRA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0026 | DEWI MALASARI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0027 | ANGGUN MURNIATI SIREGAR | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0015 | ARPAH | dr. SHENY AGMA, Sp. N | BPJS | |
| B0028 | KEVIN ADLAN PRANATA | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0029 | KWET SAN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0030 | NOFIA CITRA AINUN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0031 | MEGA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0032 | CANDRA WIJAYA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0033 | SUDASRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0034 | PAUSA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0016 | SRI ASTUTI | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0017 | LIZA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0035 | EFFENDI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0036 | YUSNI TAMRIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0037 | M. ABI LIANSYAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0038 | KASIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| D0006 | MARIS SITOMPUL | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0039 | TJHANG JOEIJ MOIJ | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0040 | SITI FATIMAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0041 | JULI RACHIM | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0018 | ADIK DEWI GUNTARIE KENCANA KARTINI MS | dr. SHENY AGMA, Sp. N | BPJS | |
| C0019 | MIKHAEL NATHAN KUSUMA | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0020 | MEIDIANSYAH | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0042 | ILHAM ADI WIJAYA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0001 | KHAIRAZKY RIVI FAWWAZILMI | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0043 | SALAMAH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| D0007 | ELVIRANDA RIZQI FEBRIANTI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |