| B0040 | ACHMADI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0016 | ALANA NAURA SYAFIRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0008 | ANGGRAIRI RAFELIANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0029 | ARDI MAULANA | dr. SHENY AGMA, Sp. N | BPJS | |
| B0049 | ARINDYANI NUR ISLAMYAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0052 | ARYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0048 | ASLIANAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0043 | BALOK | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| D0004 | BOEN LIE LIE | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0026 | CHI SUI YIN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0031 | DESNAWATI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0032 | DEWI DAMAYANTI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| A0003 | DEWI SUSANTI | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0018 | DIKA ARIYANTI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0007 | ELDY ASIKIN MC | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0035 | ELTRIANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0012 | EMMY MEGAWATI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0014 | ERIN MEILIA HARLINA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0034 | EVA NORIANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0015 | EVA NURSILA | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0021 | EVI TAMALA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0037 | FAM NJOEK HAUW | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0044 | GUIDO FRANSISKUS SIBORO | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0039 | HEDI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0029 | HELMA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0016 | HENI SUSANTI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0006 | HENNY R. | dr. SHENY AGMA, Sp. N | BPJS | |
| C0012 | IIS KARMILA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0046 | IKA YUVIKAWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0041 | INGGI SASMITA PUTRI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0019 | ISMAYNA ALIMBAR | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0003 | KARTINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0005 | LIE ENG HUAT | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0025 | LINGGAWATI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0002 | LIONG A MOI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0024 | M. YAMIN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0007 | MAKMUR. K | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0001 | MARSONO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0047 | MASITOH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0021 | MASNIDAR MACHMUD | dr. SHENY AGMA, Sp. N | BPJS | |
| C0008 | MIE SIN | dr. SHENY AGMA, Sp. N | BPJS | |
| B0015 | MINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0017 | MISNGATUN | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0023 | MOEK SEN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0002 | MUHAMMAD FARRAS HARKA MA'RUFI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0028 | MUHAMMAD WAFY ALFAREZEL | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0004 | MUK LAN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0030 | MUSTAFA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0009 | MUZNI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0003 | NENENG PERMANAWATI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0022 | NG DJUNG MEW | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0006 | NG TET TJIE | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0017 | NGIAT NON | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0025 | NUR KOMARIA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0011 | NUR RUFAIDAH AKBAR | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0010 | NURSAMAN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0026 | OKTA SAKTIYANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0013 | RIEZKY PRATAMA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0001 | RINA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0033 | RIZKY ELLESA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0019 | ROFI'AH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0050 | ROHMAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0051 | RULLIYANAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0042 | RUSMANILA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0020 | SANELY RISTI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0005 | SANIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0002 | SANTI WULANDARI | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| C0001 | SARMAN SAPARUDIN | dr. SHENY AGMA, Sp. N | BPJS | |
| C0009 | SIAW PING | dr. SHENY AGMA, Sp. N | BPJS | |
| B0045 | SILPANA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0001 | SITI AISAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| D0006 | SITI MUDAYATI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0038 | SRI SUNARTI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0004 | STIFFANY THENDY CLAUDYA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| C0020 | SUBARDIN SABIR | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0022 | SUGIYO | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0036 | SUMINI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0002 | SUMIWATY OPPUSUNGGU | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| D0003 | SUPITRA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0027 | SUSI SUSANTI | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0013 | SUTIANA | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0014 | TASLIM | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0028 | THALITA GLADIES MAMESAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0023 | THEN A NIT | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0027 | TJEN MIE JAN | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0024 | VEREN VERONICA LIONG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0005 | WIRNA OKTARINA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0004 | YATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0010 | YUNANI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0011 | YUSBAIDAR | dr. SHENY AGMA, Sp. N | BPJS | |
| D0007 | YUSNIMAR | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0018 | ZAINUDDIN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |