| C0001 | BASINAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0002 | EDDY SOFYAN | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0003 | SUSANTO | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0001 | PERASANTI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0002 | YULIA MARINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0003 | R. SUBARDIANTINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0004 | MIMI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0005 | JUSTITIA WILIS RESTUTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0004 | NOVITRIANA | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0006 | DEWI SHINTA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0007 | SUDARMAJI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0008 | AIDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0009 | ANITA DEWI SORAYA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0010 | RISKI APRIANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0011 | SYAMSUL BACHARI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0005 | HERMAWATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0012 | TJOENG KHIN NA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0013 | NINING KURNIASIH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0002 | AZZAHWA MAEZURRA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0014 | SANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0006 | ALTIANTI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0015 | AHMAD REFKY | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0007 | HENDY IRAWAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0016 | LARASATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0008 | ATHANVITO TRISTAN ENANTA GINTING | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0009 | YUMIATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0017 | GANESHA GLEN REYNDRA | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0018 | TJIN NYUK FA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0019 | NORA GIANDRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0020 | ARNISAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0021 | NYIMAS MEIRIAH RIDHA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0022 | SUSTINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0023 | MAS'UD. L | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0024 | NASYWA NURULLAH AL - HAQQIE | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0025 | MARIA AGNES TRISNANI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0026 | YANDY ARFANDY | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0010 | MUHAMMAD ZULFAHADY | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0027 | PARIDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0028 | QUON SUKARDI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0011 | TJHIN KOEI JOENG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0029 | FENIATI SUDANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0030 | AKBAR MARTADINATA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0012 | SAMI'UN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0031 | SHERREN FRANSISKA PUTRI | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0013 | RIVANI SYAHFUDDIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0032 | GUSTIA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0033 | DINA FEBRIYANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0034 | FREDI GUNAWAN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0035 | FAUZIYAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0036 | RENNIAR | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0037 | ARYANI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0038 | RAMLAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0014 | ZULKARNAIN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| A0003 | DEFRI FABIANSYAH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0039 | JIMMI KARTEN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0040 | ABDUL MUN'IM | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0015 | MARRIETI PURBA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0041 | TRI TOHAROH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0042 | KULIANIWATTY | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0004 | AYUNA ZEA CALYSA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0043 | ANITA YULIANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0044 | SYAMSIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0045 | AUDI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0016 | JUAINAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0005 | MUHAMMAD ALFARIZI | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0046 | INNEKE IKHFA KHAIRANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0017 | NG SAK LOIJ | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0047 | SASNIA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0048 | YULISTARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0049 | HAMIM | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0050 | DEDEK HARYONO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0018 | ELLY MEARTI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| A0006 | NURALIYAH | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| D0001 | RUSDIAN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0051 | ROYANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0052 | KEYZIA ANANDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0019 | DEDE PRATIWI | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0020 | LAMIN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0053 | JUNEDI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0021 | MIN SEN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0007 | MUHAMMAD ARKAN | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0022 | NYUN SIAT | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0023 | SUKIAH | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0054 | ROSNA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0055 | ALWIYAH SYAHABUDIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0056 | WINNA ANGGUN GAYATRI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0057 | MERIE | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |