| B0001 | HERMAN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0002 | SRI RAHAYU | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0003 | FATMAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0001 | RITA JUWITA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0004 | SAMSIYAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0005 | YUNIZAR | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0006 | SETIADI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0007 | MUHALADIN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0008 | TRIYANA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0001 | AHMAD FAUZAN | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0009 | SYAMSUL BACHARI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0010 | LUSIANI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0011 | SUSANTY | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0012 | MUHAMMAD AL KAHFI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0013 | VITA ROYANI SIMATUPANG | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0014 | LAN DJIN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| D0001 | ELI MUSTIKANINGSIH | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0002 | IWAN BASTONI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0003 | NUR AVIVAH | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0004 | SUTARJO | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0005 | MARDALENA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0015 | TOIBA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0006 | ROSMAWATI | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0007 | AMRI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0016 | ERNI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0002 | RUDIANTO | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0017 | LILI ARYATI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| A0003 | FHAELYNN ZOEYA AFERHIA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0004 | NAZEERA SHANUM ELMEERA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0005 | MUHAMMAD FARHAN ARJUN | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0008 | ROKIAH | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0018 | ROSWITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0019 | SITI SUDIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0020 | SULISNAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0009 | BAMBANG ARISADEWO | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0010 | SUHARNI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0021 | IDEWI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0022 | NURHAYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0023 | SUBEIRAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0024 | WINDA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0025 | MASNUR LIZA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0011 | LIE MOEI TJIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0026 | TRI INDAH SARI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0027 | JUNURIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0006 | SINTIA CALOREN | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0012 | TJOENG TJIAP FAT | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| A0007 | SAKHINAH RAHMADANI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0028 | YULITA NATALIA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0013 | NOFIYANTI HARINI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| A0008 | SINDY KASARI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0029 | HERRY MARZAIDI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| D0002 | FENNY YULIANY | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0030 | ASIA JALMA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0031 | UMMI AZIZAH AWLIYA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0032 | ERNI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0014 | NAFISAH KHAIRANI | dr. LINGGAWATI, Sp. THT | BPJS | |
| D0003 | LIE FO KHIAN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0033 | DWI SEPTIANI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0034 | SUBARNO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0009 | MARISTA SAPUTRI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0015 | UMMIYARI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0016 | GUAN BUNARDO | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0010 | SITI SUMARAH | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0017 | TJEN KIM NYONG | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0035 | H. M. ZEN DJAMAL | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0036 | LISWARNY, SH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0018 | ABDUL ROZI MAHRUB | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0019 | TONO SLAMET | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0037 | NORI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0038 | TJONG JUN SIAM | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0004 | MULYADI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0039 | SUMIYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0020 | SARNAWIYAH | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0021 | MUHAMMAD ROSIDI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0040 | ROMIDAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0041 | RYANDO CITRA KUSUMA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0042 | FARIDAH | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| A0011 | RAFFASYA NADHIF AL FARIZI | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0043 | SUCI SALSABILA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0044 | TASRIANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0045 | NURHAYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0005 | MUHAMAD GALY NJOMAN ARI PRIBOWO | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0046 | IVONNE MARGARET SIANIPAR | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0006 | SYAQINA MAWARDAH | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0012 | EL ZEVA ARETHA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0047 | AINI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0022 | MASCIK | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0023 | H.MUHAMMAD YAMIN YAMAN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0024 | MARJATI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0048 | RUBI'AH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0049 | SAHIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0013 | DEWI PERTIWI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0050 | FIFI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0051 | HERYATI ALIYUDIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0052 | WAGIYANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0053 | ELIA RITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0054 | AMIR | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0014 | DEFRI FABIANSYAH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0055 | WILNARDI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0025 | SRI SUJANI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0056 | M. NASIR HASAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0015 | DIAN MEITA FRANCIA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0057 | IIS YARMITA PUTRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0058 | NORA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0059 | ZULISTIA NOVITRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0060 | ROYANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0061 | R. SITORUS | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0026 | RATMI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0027 | ERMAWATI | dr. LINGGAWATI, Sp. THT | BPJS | |
| A0016 | MIRACLE BOY SHIDARTA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0017 | ARYA SAPUTRA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0028 | RAPILIONA | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0062 | SAIMIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0063 | RYAN AUGUSTA PRAKASA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0064 | IMRON | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0029 | NOFIA CITRA AINUN | dr. CARLES, Sp. KJ, M, Sc | BPJS | |