| B0001 | RIZA HARYATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0001 | LIE FO KHIAN | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0002 | KURDIANSYAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0003 | WIRNA OKTARINA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| A0001 | JUNIARDY | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0001 | MERRY ABIDIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | UMUM | |
| C0001 | BONG DJOEN MOI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0004 | SUSILAWATY | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0002 | DJONG A LONG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0005 | PASTI EFFENDI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0006 | ANDINI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0003 | AZHAR BURHANUDIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0007 | M.AKYAS AZIZ | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0008 | SYAMSUL EFFENDI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0009 | MAHIBAH | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0010 | MIRADE OGI SEKARTINI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0011 | TRI WAHYUNI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| D0002 | DEFRINO ARIVAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0012 | ISMAIL SYAFRUDIN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0013 | RIKA RAMAWANGI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0014 | RP. RUSTIANA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0015 | KAMARIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0004 | SAWALUDIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0016 | LEE KIM HAIJ | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0017 | HEDI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0018 | HASMULYANI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0005 | RUDI HELMI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0019 | FITRI NINGSIH | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0020 | NORA GIANDRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0021 | HASMULYANA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0006 | FIKRI AFRINDRA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0022 | SUMITRO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0023 | SURIP | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0024 | SITI NURJANNAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0025 | DIAH HERLINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0026 | FEBRIYANI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0007 | YULINA | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| D0003 | SUGIANTO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0027 | DAPIT TRIANTO | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0028 | APRIANSYAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0008 | INTAN TIARA | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0009 | ZAHFRIZAL | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0029 | IDA EVAYANTI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0030 | RONNI MARGARETA TAMPUBOLON | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0010 | MARIA ARIFIN SUSANTO | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0031 | MAIMUNAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0011 | SOPINA | dr. SHENY AGMA, Sp. N | BPJS | |
| C0012 | LITA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0032 | IRMAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0033 | SANAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0034 | HADI JATMIKO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0035 | ELLA AYU OKTAMI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0036 | SUKIRMAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0002 | DITA PARAMITA | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| C0013 | LISMANASARI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0037 | ANUAR | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0038 | ARI KUSMITA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0039 | ARINAL PAHLEVI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| D0004 | SARONI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0040 | ROFI'AH | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0041 | MIE YING | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0014 | SUHERLI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0042 | SUYANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0005 | LIE KAM FO | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0043 | ADE OCTARINA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0044 | MARYATI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0015 | SUPRIYATIN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0045 | SUSANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |