| B0001 | HAMARIA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0002 | KEVINIA HUSVANELA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0003 | HAFIS JUNIOZA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0004 | SRI WAHYUNI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0005 | RUKIAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0001 | MUHAMMAD RAYYAN AL KAHFI | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0006 | LULU DWI RACHMA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0007 | AURA FITRI NOVIANDRI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0008 | ASIFAH HIMATUL ULYA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0001 | LIOE TJHOI HIOENG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0009 | SEPTI SUHARA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0002 | HATIPAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0010 | EVI SUTRISNI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0011 | ABDUR ROHMAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0012 | GUSMERI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0013 | TJHIE A LIAN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0014 | MARIANI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0015 | TOMY HOMARWAN | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0016 | AUFI IKHTIA ILMA | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0002 | ABID AQILA PRANAJA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0017 | LIE PIT NJONG | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0018 | RAMA DHANY ALI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0019 | DANISH MANAF | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0020 | YOGA DWI PRANATA PUTRA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0021 | UMI RUMAN LUTFIAH KHIROM | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0022 | IWAN DANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0023 | YULITA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| D0001 | TJHIN DJOEN TJHOEN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0003 | TRI NATALIA | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| C0003 | MELYSA ANDANI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0024 | DJAP A KAIJ | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0025 | TJHAIJ LIE LIE | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0004 | RINI SUCI ANGGRAENI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0005 | DUTA ANGGARA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0026 | AFRINA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0027 | RAHMAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0028 | DAISY ROSSANDRA SITOMPUL | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0004 | VANO FERNANDO | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0006 | SU'ADAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0007 | IRWAN SYAFARUDIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0008 | FAUZAN | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0029 | THONG A TJHIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0009 | VICTOR TAMBUNAN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0010 | RATNA SARI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0011 | TRIANA KURNIASIH | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0030 | ROSSELI | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0012 | MAILAN ZED | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0031 | LIONG TET DJANG | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0013 | ARIS HANDAYANI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0032 | WULANDHANY | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0005 | AHSAN ABDAD | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0014 | EDI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0015 | YUL BENNY | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0033 | CATHLINE METTA WIJAYA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0034 | INDAH PUSPITA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0016 | MOCHTAR ROMLI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0035 | SULASTRI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0036 | DEVITA SARI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| A0006 | THAQEEF REY ANAQI | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0037 | ERNAWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0038 | SUMIATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0017 | SARMINI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0018 | ZAHARA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0039 | PONIYEM | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0040 | NURDIANA | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0041 | BELA CANEVA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0019 | JANTI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0042 | NITA APRIANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0043 | SRI SEPTIARINI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0020 | HUSIN BASRI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0044 | FADILLA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0045 | AZHAR BURHANUDIN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0046 | ZUBAIDAH | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0047 | MELVIN ANGELLO LIM | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0021 | SYAMSIAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0022 | SYAHBUDIN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0023 | KOMARIA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0048 | APRIL INDRIANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0024 | IIS KARMILA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0025 | ZAHARI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0049 | MUK HIUNG | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0050 | DEDDY NUTARY | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0051 | WINDIANFA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0052 | BAMBANG SUBEKTI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0053 | DEVI RAHMAWATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0026 | AUWATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0054 | ZURI BALI AGUS | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0027 | MUHAMMAD NAUFAL AFKAR | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0055 | KINANTI AZIZAH SAFITRI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0056 | ERNENGSI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0057 | PUTRI ULFASARI | dr. YOGI YAMANI, Sp. B | BPJS | |
| C0028 | NURAINI PANJAITAN | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0058 | REZI AL MIZAN RUSLANI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0059 | YUNIKA SEPTIASYA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0060 | MINSAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0061 | LUSMAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0062 | SUWANDI UNEN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0063 | TASIAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| A0007 | M. ARTANABIL ARRAYYAN | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| A0008 | SAHLA AZIZAH | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| A0009 | ZASKIA ATHA SYAFIIQAH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0064 | IRWAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0065 | DIAN LESTARI NGAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0066 | FAHADAH GUSTIARA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| C0029 | KUSNANDAR | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0030 | RUSNIAR | dr. ANDRA VERNANDI, Sp. N | BPJS | |