| B0001 | YUNITA | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| C0001 | JAMANI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0002 | ELDY ASIKIN MC | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0003 | M. RASYID | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0002 | ASMAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0004 | JUWAN ALANDIAH | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0005 | NUR'AINI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0006 | DEA DEKRISNAWATI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0003 | SINAR GUSTI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0004 | SIHARMAN. M | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0005 | SRI WACHYU HARIYANTHIE | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0006 | EMIR SARASWATY | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0007 | PHAN DJOEN DJIE | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0008 | TJHIE DJUN LAI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| A0001 | KHANZA AZKADINA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0007 | NOFIYANTI HARINI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0009 | SUWESTI MANDASARI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0010 | SUMARTINI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0011 | ANDI RANTO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0012 | ARIES PRAYOGA IKBAR | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0008 | RODAINI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0013 | SRI ROHYATUN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0014 | MAIMUNAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0015 | AGUSTINI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0016 | ELEIN MARSIANTI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0017 | SANAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0001 | IWAN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0002 | KAMELIA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0018 | JULIA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0003 | YULIANA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0019 | SUBANDRI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0009 | TIURIDA PANJAITAN | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0020 | YOSINTA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| D0002 | FAHRORROZI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0021 | NUR PUJI RAHAYU | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0022 | MUSTARI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0023 | SHERREN FRANSISKA PUTRI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0024 | KERENIUS GULTOM | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0004 | MAWAR FAJRIYANTI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| A0005 | PIKANA REZTI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| A0006 | STELLA GRACIA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0010 | JOTO HERMANTO | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0025 | SURYANI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0011 | SRI KAYATI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0026 | APRILLIANA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0007 | MIA ANDESTI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0027 | YANTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0028 | TJEN NAM PI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0029 | MUHAMMAD ATTAR ABYAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0012 | MUHAMMAD NASIR | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0030 | FAVIAN RAMDANI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0008 | HILMA TRIANA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0031 | LISDAWATI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0032 | SUSANTY | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0033 | ZUBAIDAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0013 | ANA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0034 | M. ALI AKIP. D | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0035 | DENNY FICRI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0036 | TJEN WE YING | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0014 | FITRIANA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0037 | BAMBANG SUBEKTI | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0038 | BAMBANG SUBEKTI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| A0009 | SRI HASTUTI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0039 | RIKA RAMAWANGI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0015 | NOVI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0040 | TINA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0016 | IZHAN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0017 | DEWI LESTARI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0041 | SRI RIASARI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0042 | ANDI NURDAYA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0018 | DAHROM | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0043 | WIBOWO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0044 | SYAHRIL RAMADHAN | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0045 | AMELIA OKTAFIA NUGRAHA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0019 | TJHIN LAN TIE | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0046 | FIRANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0020 | NG SAK KHUN | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0021 | SUKARTI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0022 | RIDWAN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0047 | SUHELMI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0023 | ANWAR PADELI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0024 | ZAINUDDIN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0025 | LIZA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0048 | KRISTIN | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0049 | RESTU ARIMBI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |