| B0001 | SURTHAULI. R | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0002 | KARTINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0003 | ARIES PRAYOGA IKBAR | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0001 | NUR'AINI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0002 | A. RUSLI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0004 | DARA NASWA ROZALIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0005 | FATMAWATI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0006 | LARASATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0003 | MASIJAN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | UMUM | |
| B0007 | MUHAMMAD MURI RIZKI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| D0001 | FITRIANI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | UMUM | |
| A0007 | YUMNA ADINDA PRATAMA | dr. RATNA SETIA ASIH, Sp.A.,MM.Kes | UMUM | |
| A0008 | NUR KAYSHILA GENDIS | dr. RATNA SETIA ASIH, Sp.A.,MM.Kes | UMUM | |
| A0009 | BILQIS CALLISTA FATHARANI | dr. RATNA SETIA ASIH, Sp.A.,MM.Kes | UMUM | |
| A0010 | NAZIFA ALMAHYRA | dr. RATNA SETIA ASIH, Sp.A.,MM.Kes | UMUM | |
| C0003 | SUAINI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0008 | SRI WACHYU HARIYANTHIE | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0009 | MOHAMMADONG | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0010 | EDUARD | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0011 | JIWANI PRABA SANJANI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0012 | NG TET TJIE | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0013 | TJONG WE TIE | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0004 | DJAMILAH | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0014 | TAMRIN | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0015 | YOSINTA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0016 | ANDI RANTO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0017 | MUHAMMAD ALVIN FADHLY | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0018 | SYAHRIA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0019 | NORPI'AH | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| A0011 | AYRA NUR AZKIYA | dr. RATNA SETIA ASIH, Sp.A.,MM.Kes | BPJS | |
| A0012 | YENTI | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| C0005 | SILVIANA OKTAVIANI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0020 | KARTINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0006 | NURLINA HUTAPEA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0021 | TATIK HARLINAWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0022 | ANDRIANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0007 | ANITA WULANDARI | dr. LINGGAWATI, Sp. THT | BPJS | |
| A0013 | RIBY FEBRINA PUTRI | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| C0008 | NATHANIL DIFFA FELLANUEVA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0023 | FINI FURTIKA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0009 | UPUD | dr. SHENY AGMA, Sp. N | BPJS | |
| C0010 | BUDIMAN TURNIP | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0024 | MEDITA ANUGRAH | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0025 | ANITA LESTARI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| A0014 | DWI EKAWATI | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| C0011 | JAISAH | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0026 | SIU FUK | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0027 | TARA SEPTIRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0028 | ELLY TANSIL | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0029 | ELLY TANSIL | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0030 | NURCAHAYA NAPITUPULU | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0012 | RATINI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0031 | SAK A DJANG | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0032 | TJEN NAM PI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0033 | SHERREN FRANSISKA PUTRI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0034 | NUR PUJI RAHAYU | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0035 | FATHAN RIB'IKHADAFI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0036 | SUHELMI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0037 | LIM MIE TJE | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0038 | AGUSTINUS BINSAR PRAYOGI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0039 | HARTATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0040 | ZAINAB | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0041 | CLARA ANGGITA LESTARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0042 | PONISIH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0001 | SYAMSIAR | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0043 | NAJWA HYDIERA AHZAMI RACHMAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0044 | ADILA SEFITRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0045 | RIMA HASMIDAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0046 | HAYUMI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0047 | NOUFAL KHAIRUL ATTAQI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0048 | RIKA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0049 | JUANTITO MUSLIM | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0050 | SAIMIN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0013 | AMRIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0015 | MEDIAWATY | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| B0051 | HAIDAR RIZALDI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0052 | ALSHA ZHAFIRAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0053 | GALANG HADIANTO | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0054 | SHAN FELIX LEE | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0014 | EKA WINARTI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0055 | SONIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0056 | RISA RUSMANA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |