| B0025 | KUSYANTO | dr. YOGI YAMANI, SP. B, MARS | BPJS | |
| B0026 | IRA SASWITA | dr. YOGI YAMANI, SP. B, MARS | BPJS | |
| B0048 | HALIMATUS SA'DIYAH | dr. YOGI YAMANI, SP. B, MARS | BPJS | |
| B0055 | TJHAIJ FAT | dr. YOGI YAMANI, SP. B, MARS | BPJS | |
| B0069 | HELIZKHA AZIRA | dr. YOGI YAMANI, SP. B, MARS | BPJS | |
| B0001 | ILLY IFRIANI RISQIYA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0004 | ARINI DYAH RISKANITA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0014 | RADEN MUHAMMAD YASIR RIZA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0015 | ROMAITA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0022 | SOEN LIE | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0030 | NOFIARTY | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0033 | GOKMA PULUAN MARPAUNG | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0041 | MUHAMMAD | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0043 | SARTINA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0056 | KENZO AZKA ATMAWAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0005 | NGIAT THIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0006 | HARIPAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0012 | SRI DIFIA ANJANI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0039 | ANUN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0009 | ELTHAYURA MAGHFIRATHY | dr. LINGGAWATI, Sp. THT | BPJS | |
| A0001 | EUW KIM LIUNG | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0003 | ABDUL MANAN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0006 | BIBIT | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0010 | ANDRE PRATAMA | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0011 | SUPRIYADI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0014 | AINI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0016 | JAMILAH | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0017 | ASMANI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0036 | PUSPITASARI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0050 | MUAWWANAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0051 | MARJUKI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0052 | ZAHARAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0053 | ASIATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0005 | TOMASILAWATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0008 | SUJONO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0009 | TJEN NYUK NYUN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0012 | ZAINUDDIN TJUWANDI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0016 | SAGITA PUWANDA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0032 | MARYAM | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0034 | BOEN LIE LIE | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0035 | MUK TJO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0039 | UMI SUMIATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0049 | SITI RAMADHANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0058 | DALI MARDALENA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0064 | BUAITI | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0005 | DEIZAM OKRASIO BERLIAN | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| A0007 | LIANASARI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| A0009 | DELLA RESPITA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0006 | RISKY RAHMAD INDARTO | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0007 | TEDDI AFALDO | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0010 | FADHIL IZDIHAR | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0011 | ZAHIRA DWI APRILIANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0021 | AHMAD ALFARIS | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0024 | LULU MUTMAINAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0060 | ADI HARTORO | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0066 | DEPBI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0013 | NIRWAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0028 | PRETTY SIANTURI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0057 | THEN A NIT | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0059 | LIM NGIT KWAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0061 | LIM MIE TJE | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0065 | AJAT SUDRAJAT | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0013 | LIAUW SOEN KHOIJ | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0015 | SUMARDI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0016 | MAIMUNAH | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0017 | SEPTIA HARTATI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0018 | DAUNA | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0019 | HENDERA | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0020 | LISTA ANIYANTI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0021 | BURHAN | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0023 | SALMAH | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0024 | DEWI RATNA WATI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0025 | ABDUL HAMID | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0026 | SODO | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0029 | HARSINI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0030 | A MOI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0033 | FAIZAL HENDRI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0036 | KARTINI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0038 | MURNI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0023 | MUHAMMAD KAIVAN ABDAR | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0045 | SUMAN | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0046 | JAMILAH | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0062 | DARMA TAPSIAH | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0068 | SITI AMINAH | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0070 | MUHAMMAD FADHIL AL-GHIFARI | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0020 | YAYAN HERI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0040 | MARIA OCTAVIANI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0042 | ASTI PUSPITA SARI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0063 | ANGGRI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0067 | DEBORA ELINA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0034 | TJHIN TJIT MIAN | dr. DHIETO BASUKI PUTRA, Sp.KFR | BPJS | |
| A0002 | SITI AMINAH | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| A0008 | SEAN KHEFAS XAVIER AMBARITA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| A0013 | DAFFIN KEENAN ARKANA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0004 | REZA MARDIYANTI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0028 | TJONG SAK TJIE | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0035 | HASNIATI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0001 | SISKA ARIFIN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0014 | RAHMATIA | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0022 | LIE SOEI MIE | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0027 | ATMANIAH | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0037 | HANAPI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0002 | LIAW LIE LIE | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0003 | ANDRI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0018 | JAP BUN MEN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0019 | NURHASANAH | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0029 | HEW KIUN TJUN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0031 | ASMUNI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0037 | ERNA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0038 | YUSNANDAR | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0044 | NURWATI M. NURUNG | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0047 | PONIMAN PHOENG | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0054 | NENENG PERMANAWATI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0002 | SUKIRNO | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0011 | YULIATI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| A0012 | AMMAR SYAZWI | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0015 | AHSANI TAQWIM | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0027 | MUHAMMAD ARZAN HUSAIN | drg. PRADIPTA ATMOKOTOMO, Sp.KGA | BPJS | |
| C0010 | SAINI | dr MIFTAHUL JANNAH,, Sp. N | BPJS | |
| C0032 | MUFID AL FAIZ | dr MIFTAHUL JANNAH,, Sp. N | BPJS | |
| C0003 | ELIANI | dr MIFTAHUL JANNAH,, Sp. N | BPJS | |
| C0007 | LIONARDI FOEAD | dr MIFTAHUL JANNAH,, Sp. N | BPJS | |
| B0017 | SALAMAH | dr. YOGI YAMANI, SP. B, MARS | BPJS | |
| A0004 | SASMITHA AMANDA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| C0008 | SURIANTO | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0031 | MUFID AL FAIZ | dr. ANDRA VERNANDI, Sp. N | BPJS | |