| C0001 | ELIYA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0002 | NURHAYATI ANDERIANI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0003 | BONG KIUN PHIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0004 | ISKANDAR | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0001 | JURIAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0005 | SUAIDAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0006 | MUK TJIAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0002 | FATIMAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0003 | TJEN NAM PI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0004 | H.MUHAMMAD YAMIN YAMAN | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| D0001 | BONG KHI JAM | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0005 | IRMA | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0002 | ROSWITA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| D0003 | MEI LING | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0007 | SURAMI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0006 | DINA KURNIATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0007 | YUPITASARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0008 | DIMAS RIEDHO ALAMSYAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0009 | HIAN HO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0008 | LIE SIOE DJIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0010 | DINI DWILESTARI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0011 | NORKIP | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0012 | KARTINI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0013 | UJANG RISMAN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0009 | RIKA KURNIATI | dr. LINGGAWATI, Sp. THT | BPJS | |
| A0001 | SEAN GAVRIEL | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| D0004 | YANTO ASAHRI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0014 | WAN TJE | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| C0010 | THAM TJAUW LIONG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0011 | DJAP SOEIJ LIE | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0012 | LINDA | dr. SHENY AGMA, Sp. N | BPJS | |
| C0013 | DAVI AKBAR | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0015 | LISNA SARI NINGRUM | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| C0014 | DEA DEKRISNAWATI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0016 | EDHA SETIANINGTIAS | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0017 | HJ.NYIMAS SYUFRIENI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0018 | MAIMUNAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0015 | TJUNG KON FEN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| D0005 | PHAN DJOEN DJIE | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0016 | ROZANTI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0017 | DJUNG FU | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0018 | JAUYAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0019 | HAIDAR YATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0020 | PUSPITA DESVIRATI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0021 | TJHANG A LOY | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0022 | PHANG KIM KHIAN | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| A0002 | AHMAD AZAM | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0023 | DEWI HANDAYANI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0024 | YUNNIE | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0025 | KRISDIAN PRATAMA | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0026 | RUSMAINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0003 | HILZAZ AZELO | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0019 | EDI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0020 | DANTI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0027 | LADY VERALITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0028 | PINANTI WARDAYANI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0021 | DUWI HARNI | dr. DYAN EKASARI, Sp. An | BPJS | |
| A0004 | ASY SYAHIDA AMRINA ROSYADA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0022 | NURA | dr. SHENY AGMA, Sp. N | BPJS | |
| C0023 | SONETA AGUSTRIANTI | dr. SHENY AGMA, Sp. N | BPJS | |
| D0006 | KASIRA | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0029 | TJHANG NAM KHIE | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0024 | SRI HASBIYANI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0025 | GRITTIYANI | dr. DHIETO BASUKI PUTRA, Sp.KFR | BPJS | |
| B0030 | MUDAHKIR | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0026 | H.MUHAMMAD YAMIN YAMAN | dr. SHENY AGMA, Sp. N | BPJS | |
| C0027 | TJHIN DJUN KIEOW | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0031 | HIAN HO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0032 | HANISA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0028 | SYARIFUDIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0029 | LIAUW SOEI NGO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0030 | ENY SUDARYATUN | dr. SHENY AGMA, Sp. N | BPJS | |
| B0033 | TJONG JUN SIAM | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0034 | KARINA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0035 | SUKIATI SAMSUDIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0036 | RISTERIA GULTOM | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| D0007 | WAGIYO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0031 | SUHARNI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| D0008 | ABIL | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0032 | FERDI LASMAN MANURUNG | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0037 | KASMAWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0005 | JENNIFER GABRIELLA MARGARETH | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0033 | SITI APSAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0034 | MASNONI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0038 | SUMARNI | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| B0039 | FENNY NOVIANTY | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0040 | MASTUTI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0041 | ENDANG PURWANINGSIH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0042 | SELAMET HERIYANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0043 | ROSFITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0044 | MUHAMMAD HEIKO DHANUGRAHA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0045 | RINDU MESICHA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0035 | TIURIDA PANJAITAN | dr. SHENY AGMA, Sp. N | BPJS | |
| A0006 | NIZAM BAGUS AL VINO | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0046 | VIKE GUSMA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0047 | LIM MIE DJIN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0036 | MALIK | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0048 | RINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0049 | SU'IB | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0037 | MARTONI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0050 | UMI SUMIATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0051 | MUDITO | dr. YOGI YAMANI, SP. B | BPJS | |
| C0038 | FAUZAN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |