| C0001 | PUTRI MEGIE | dr. RISMAN SARAGIH, Sp.S | PT.TIMAH | |
| B0001 | CHIN CIN SE | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0002 | WIDIASTUTI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0003 | NAZAR RAFIANSYAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0004 | SRI WANTI PERJANUKI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0005 | STEFANI MELISA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0006 | CHRISTIA MARCELINA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0007 | NOFRIANA INDRIYANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0008 | IMAN JAYA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0009 | YUMING ERSILYA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0001 | AMANDA FEBRIANI | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0002 | SUJONO | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0010 | LILIS ANGGARYANI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0011 | YENNY | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0012 | MUHAMMAD ADITIYA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0013 | MUHAMMAD MURI RIZKI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0014 | EVA ASTUTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0003 | FERY ARDIANSYAH | dr. LINGGAWATI, Sp. THT | BPJS | |
| A0002 | KENZIE AZKA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0015 | ROSYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0004 | SAHARUNI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0016 | TAMRIN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0017 | MAHIBAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0005 | HARIANPIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0006 | ROBIAH | dr. SHENY AGMA, Sp. N | BPJS | |
| B0018 | RUSTAM | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0019 | ISMAYNA ALIMBAR | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0020 | NYIMAS MEIRIAH RIDHA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0021 | SUSTINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0022 | HOLIPAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0007 | DARIYAH | dr. SHENY AGMA, Sp. N | BPJS | |
| B0023 | YUDITH WIDYANTI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0008 | BONG KHUN NON | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0009 | YUL BENNY | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0024 | POPO JULIHARTOPO | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0010 | PARINAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0011 | LAMIN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0012 | RITA TUTIRAH | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0013 | TIURIDA PANJAITAN | dr. SHENY AGMA, Sp. N | BPJS | |
| B0025 | MARYATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0014 | DJAHUN DJOHANA | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0026 | ELVANO ZAHIRAYYAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0027 | HERMANSYAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0015 | MUK TJIAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0028 | HALIM | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0029 | ROMLA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0016 | SAIDATUN NISSA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0017 | HUSIN BASRI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0030 | INKA KARUNIA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0031 | DEWI LESTARI | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0018 | ZULKARNAIN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0019 | ELLY MEARTI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| A0003 | DEVITA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| B0032 | ERNIJANTY THERISITHA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0033 | TJEN A KIM | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0020 | ABETNEGO SIANTURI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| B0034 | SAMUN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0021 | BAHARUDIN | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0022 | MUHAMMAD FATHAN IMAMI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0035 | ARMELIA LESTARY | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0036 | MISIYAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| D0001 | NAURA AZKIYA HAFIZAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0037 | RIA JUITA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0038 | FANIA MIKO WILUJENG | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0039 | WINDA LISTARY | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0023 | RUDI HARYONO | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0024 | DENI RISNAIDI | dr. ENDANG KUSRENI, Sp. JP | BPJS | |
| C0025 | FAUZAN | dr. SHENY AGMA, Sp. N | BPJS | |