| D0001 | BOEN NGIT FO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0001 | TISRIJANTO | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0002 | HONONA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0003 | EN NIO | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0001 | FATIMAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0004 | ADENI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0005 | TATIK HARLINAWATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0002 | HERDHANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0003 | MOEI LIE | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0002 | SUMIWATY OPPUSUNGGU | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0004 | THONG A TJHIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0006 | NGASJAN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| A0001 | MUHAMMAD KHALIFAH HANIF | dr. REGGY AMBARDY DWI PUTRA, Sp. A | UMUM | |
| C0007 | SRI DAMAR WULAN SARI | dr. SHENY AGMA, Sp. N | BPJS | |
| C0008 | SRI DAMAR WULAN SARI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0005 | SITI AISAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0006 | SURYAMI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0007 | NURLENI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0008 | HAFIZH ZACHARY | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0009 | DAMSIR DOLEK | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0009 | RAMA DHANY ALI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0010 | HERLINDA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0010 | DEFRINO ARIVAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0011 | AL ZEIN KEMAIL | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0012 | KIKI ANDRIANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0013 | TJHIE A LIAN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0014 | NORI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0015 | SAINA BOENARDI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0011 | LISDAWATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0016 | AMINAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0017 | PAINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0018 | DEWI YUNITA SARI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0019 | KUSMIATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0020 | TJHIN MIE LIAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0021 | LEGIATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0022 | SUPARNO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0023 | AANG KURNITA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0024 | SUYANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0025 | SAHLAN RIZKY AKBAR | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0026 | SURYANI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0027 | RUSNI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0028 | EDYWAN IKHSAN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0012 | MUHAMMAD FAIZ ZAQI RISDIANSYAH | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0029 | ANITA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0013 | YUL BENNY | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0030 | YULITA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0014 | WINDA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0031 | SUSILAWATI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0032 | NURJATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0015 | MOI FA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0016 | FAUZAN | dr. SHENY AGMA, Sp. N | BPJS | |
| C0017 | FAUZAN | dr. SHENY AGMA, Sp. N | BPJS | |
| B0033 | WANSIKA SUHERMAN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0034 | UBAIDAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0018 | YANTO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0035 | YETTI SAURMAIDA ARITONANG | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0017 | KUSPITA SARI | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| B0036 | ERNI WULANDARI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0019 | FERY ARDIANSYAH | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0037 | OKTRA YUNINGSIH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0020 | HJ. ROPIAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0038 | CHRISTIA MARCELINA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0039 | FIRMAN HIDAYAT | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0021 | DIDI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| D0003 | FARIATI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0040 | CHINTA HENDRA FRED | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0041 | ABDUR ROHMAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0022 | FATIMAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0042 | POPO JULIHARTOPO | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0023 | SAIRI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0043 | BAARE ABIYU | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0044 | ERPANI TURISNO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0045 | YUNI PUSPITA SARI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0046 | MUHAMMAD RIZAL UMAMI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0047 | REYHAN ALSYACHPUTRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0024 | EFFENDI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0048 | NURMAINI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0025 | TERIA JOHAN | dr. EDI SURYADI, Sp. An, M. Sc | BPJS | |
| C0026 | MARYANA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| D0004 | RAMDHAN SASMITA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0027 | IMRON | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0049 | EXEL LUCIO MOIS | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0050 | ZUBAIDAH | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0028 | ARIS HANDAYANI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0051 | ISWANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0029 | SYAFRENI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| D0005 | HAMISAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0030 | ERPANI TURISNO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0031 | GUNIARTO | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0052 | RIA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0032 | SYAHBUDIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0033 | MINGAN MARPAUNG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0034 | MEYNANDA ARLAN MA'RUF | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0053 | MELVINA ANJELITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0035 | KUSNANDAR | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| A0018 | ANYA NADIRA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0036 | MUSJUMANI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0037 | IRWANSYAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0038 | ALIFIA SYALSABILA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0054 | HASANAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0055 | INA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0039 | TJONG SAK TJIE | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0056 | WINDRA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| D0006 | SUPRIYATIN | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0040 | DALIA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0057 | NINIK WIDYAWATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0058 | SRI RUSNAINI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0041 | NORA DONA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0042 | RIZAL | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0043 | SUMARNI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0059 | SUDASRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0060 | SUKARTI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0044 | M. SUNMIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0061 | RAFEYFA ASYILS MARAGUNTIR | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0062 | RHEZY JHUANITO | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0045 | SYAMSIAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| A0019 | AHMAD AZAM | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| D0007 | MARLINA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0063 | ARSIMAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0046 | RATNA DEWI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0064 | ANATASIA AMANDA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0047 | SOPIYAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0065 | RUSTAM | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0008 | IBROHIM | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0066 | ALFRIZZY PAJRA DINATA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0067 | DEWI NURHAIDAH SIRAIT | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0068 | HIE THAIY SE | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |