| B0001 | ROSNI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0001 | ASMAH | dr. SHENY AGMA, Sp. N | BPJS | |
| B0002 | ARIES PRAYOGA IKBAR | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0003 | M. ALI AKIP. D | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0004 | KARTINI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0005 | RIKA KURNIATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0006 | KURDIANSYAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0002 | DIAYANA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0007 | NURHAYATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0003 | AZKHIYA CHALISTA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0008 | LUSY PERMATA INDAH | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0009 | SRI UTAMI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0010 | GAYANNI NUR HAFIZN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0011 | DIRA ANGGRAINI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0004 | H.MUHAMMAD YAMIN YAMAN | dr. SHENY AGMA, Sp. N | BPJS | |
| B0012 | HABIBAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0005 | FREZINTA DWI ERIANTI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0013 | KHANZA YULIA FERISKA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0014 | KELVIN ARDIANSYAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0015 | IRWANTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0016 | RIZAL | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0017 | TUTI YUSEPAH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| A0001 | PELANGI LETTA ANAMY | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0006 | IRWANTI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0007 | SUDARMI | dr. SHENY AGMA, Sp. N | BPJS | |
| C0008 | NG KIAM TO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0018 | IIS SUMARNI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0009 | TJEN NGIM LIAN | dr. SHENY AGMA, Sp. N | BPJS | |
| C0010 | TJHAI KIM KIOEK | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0011 | TJHIN NYUK MEN ALIAS HARMEN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0012 | YUSTAM AMRIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0019 | HENSI OKTAVIA | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0020 | MUHAMMAD BAHARI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0013 | ANA | dr. SHENY AGMA, Sp. N | BPJS | |
| C0014 | HASNIATI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0021 | HARIS GUNAWAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0002 | ADILLA ZAHWA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0015 | YULIANA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0016 | RUDI HELMI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0022 | MAT AZIR | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0017 | RUSNIAR | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0018 | ELMA SUTIA YANTI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0023 | JARIAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0019 | RODAINI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0024 | RENI KURNIAWATI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| D0001 | RUDY SETIAWAN | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0025 | GUSMULYANA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0026 | TAMRIN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| D0002 | DEDY BUNNAWAN | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0027 | TATIK HARLINAWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0028 | M QUM ISFAHAN | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| A0003 | RACHEL KANISYA HAFLANI | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0020 | BOEN LIE LIE | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0029 | POHAN JUPRI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0030 | MUK TJO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0031 | FEREN NATASIA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0032 | SUKIRMAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0033 | LINA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0021 | SAHRIL | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| A0004 | SAMSIAH | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| B0034 | DEANDRA NAUFAL MAULANA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0035 | RIKA RACHMAWATI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0036 | ABANG MUHAMAD NOVALIANDI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0005 | SITI AMINAH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0022 | JUNURIAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0037 | MAHIR | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0038 | JUMIATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0023 | NABILA SAFITRI HERNINGSIH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0024 | MEI ING | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0039 | MARLINI | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0025 | SHARLITA MASDIA | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0040 | DEDE UCU SUPRIATIN | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0041 | MIMI LASTRI SETIA NINGSI | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0026 | GIBRAN ALTAMIS COSTANA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0042 | ADINDA FAHTIA AZZAHRA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0043 | TRI NOVIANSYAH | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| C0027 | ASNIZAR | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0044 | MEI FIE | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0045 | TJUNG A JUN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0028 | SURATI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0046 | DESMANIAR | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0047 | DEWI MALASARI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0048 | YOSINTA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0029 | HARY AGUNG CAHYADI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0049 | NUR KOMARIA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0050 | SANAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0051 | DEVITA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| A0006 | MUHAMMAD HILMI FADILLAH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0052 | BUN MIE DJIU | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0030 | JOHANNES LUMBAN TORUAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| D0003 | RUSAMAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0053 | ALVIN PRATAMA | dr. GOKLASH APRYANTO, Sp.B | BPJS | |
| B0054 | ARI KUSMITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0031 | ICHWAL HARYADI | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0032 | ACHMAD KESAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0033 | KHAIRUL ANWAR HARAHAP | dr. SHENY AGMA, Sp. N | BPJS | |
| B0055 | TRIANA KURNIASIH | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0034 | MANDERI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0056 | SRI RIASARI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0035 | JUMIDAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |