| C0001 | SARI MARETHA LITA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0002 | HERLINA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0003 | SAPRINSAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0004 | SIGIT HERIYANTO | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| A0001 | ABDURRAHMAN FARID RAFAIZAN | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0001 | RISKI RHAMADITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0002 | SORTAULI H | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0003 | FITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0004 | AHMAD ZAKY FADHILLAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0005 | RANGGA AVE ARDINA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0006 | ARIEL AZHAR ASH-SHIDQI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0007 | RESA AGA UTAMI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0008 | NOVITA LESTARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0009 | SINTA ELVIRA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0010 | ROKIAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0011 | MOHAMMADONG | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0005 | TIORI BR TOHANG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0006 | SURIANTO | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0012 | NOVELIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0013 | MONIKA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0007 | AMIN LUKITO | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0014 | MEGA MUTIARA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0015 | SATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0016 | NOFITA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0017 | YUNI PUSPITA SARI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0018 | LIZAM AL AHZA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0019 | CLARA APRILLIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0008 | RATNA SARI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0020 | ANITA YULIANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0021 | ADELIA AFISSA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0022 | ROMIDA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0023 | NOVIYANTI | drg. RETNO JAKA UMBARA, Sp. Ort | BPJS | |
| B0024 | SUMIYATI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0025 | SOLIHIN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0026 | VERDI JUNIRWAN | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0027 | RAISA AFRAH AGUSTA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0028 | HIDAYATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0029 | DAISY ROSSANDRA SITOMPUL | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0030 | WAN TJE | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0031 | A MUI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0032 | WAWAN FERDIANSYAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0033 | AERELYN BELLVANIA AGNETA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0009 | MASIAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0034 | GUSMERI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0035 | BUN LIM PAUW | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0036 | ADE OCTARINA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0037 | RAMLY POLTAK BERNAD BATUBARA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0010 | ANA HASANAH | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0038 | ENI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0039 | AHMAD RAFAEL | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0002 | SUWESTI MANDASARI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0011 | RIDYA NATA DELIYANTI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0012 | NURLENA NASUTION | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0003 | DHEO ARDIANSYAH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0013 | RINI SUCI ANGGRAENI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0040 | HABIBAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0014 | SILVIA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0041 | VELLYSIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0042 | SINTA ELVIRA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0043 | IR. H. SYACHFERI SIDDIK | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0044 | HJ. HENNY YUNIZAR | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0045 | SRI NINGRUM EH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0046 | LOLA OCTAVIARNY | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0047 | CHELSABILLA SYARIKA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0048 | HENDRI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0015 | WANTI HUSEN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0016 | MASKUR | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0049 | INDRA CHANG | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0017 | PAIMIN | dr. EDI SURYADI, Sp. An, M. Sc | BPJS | |
| C0018 | NOVIAN YATRIZAL | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| A0004 | MEGA AGUS SUSILA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0019 | GUSTARIA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0050 | VERDI JUNIRWAN | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0051 | SUAINA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0052 | KAYLA JUNIARTI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0020 | HATIKA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0053 | ASYILLA ZAVANIA VIRDY | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| A0005 | RANTINI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0054 | ARMIA | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0006 | EL BARRA NAZWAN ZAFARI | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0007 | RASYHA AZZAM NASRULLAH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0055 | IMAN SUPIAR | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0056 | MUHAMAD FAJRI POERWAPRAJA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0021 | M.A. DJUHARDIN ADJI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0057 | DURMA MANURUNG | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0058 | YAMINAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0059 | BOEN SIN HAK | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0001 | FREDI WIRANATA | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0060 | SITI SUDIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0061 | MINGAN MARPAUNG | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0062 | DWI FINKA AMANDA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0063 | LO DJOENG KHO | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0022 | RUSNIAR | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| A0008 | DEWI PERTIWI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| A0009 | AIMAN RAFA HAZIQ | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0064 | NAJWAN HUDA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0065 | ANISA DWI HANDAYANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0023 | ROSALINA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0024 | HEUW A SIAT | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0025 | NURWANI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0066 | EKA SUMANTRI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0067 | RASIDIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0002 | ADINDA GUSTI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0068 | BALQIS MEYZIE PUTRI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0026 | YUN YING | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0069 | DETA LARASSATY | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| D0003 | HENDRA YULIZAR | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0070 | MARDINEM | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0071 | BUJANG SAZALI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0072 | ENI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0027 | EN TJOENG | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0073 | TRI SUSANTI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0074 | MIHARZA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0075 | RAFIZI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0076 | ISNANIAH | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| D0004 | THOMAS EDISON REGAN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0077 | EVA FEBRIANY | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0078 | BONG SIAT LIE | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0028 | SITI FATIMAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| D0005 | ADINDA GUSTI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0079 | NANDA RIZKHA HERATAMA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0080 | NADHIFA DESIRA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0081 | KASNI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |