| B0075 | ADE OCTARINA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0056 | AKMAL FASYA, A.FI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0052 | ALISA LESTARI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0057 | AMPRAWADI | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0006 | ANITA WULANDARI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0047 | ARIS MUNANDAR | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0014 | AZKHIYA CHALISTA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0014 | BING SUARNO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0015 | BING SUARNO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0016 | BING SUARNO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0042 | BONG SIOE TJHIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0031 | BOWO KRISWANTO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0032 | BUDIMAN TURNIP | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0065 | CATHLINE METTA WIJAYA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0026 | CHINTA HENDRA FRED | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0010 | DEFRINO ARIVAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0050 | DESI WIDIYATI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0046 | DEVI FRANSISKA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0078 | DEWI TRI PAMUNGKAS | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0005 | DJAP A KAIJ | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0020 | EDDY KURNIAWAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0015 | EDI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0068 | EKA JULIASIH | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| A0004 | ELMAHIRA ANDERA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0009 | ERNI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0041 | ERNI WULANDARI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| B0072 | ERWIN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| A0002 | ESTHER SOLITA SIREGAR | dr.H. SUANDI, Sp.OG,M.Kes | BPJS | |
| C0008 | EUW DJOENG SAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0045 | FENIATI SUDANTO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0020 | FERINA | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0034 | FITRIANI S | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0013 | HAIDAR YATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0022 | HAMDAN SIREGAR | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| D0009 | HARYADI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0017 | HARYONO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0064 | HASANA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| D0011 | HERLINA | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0019 | HERMANSYAH | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0040 | IDA HAYATI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0009 | IMAN JAYA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0027 | IRMA LINDA WATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0063 | ISKANDAR Z | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0076 | JAMILAH | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0080 | JAMILAH | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0033 | JAMILAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| D0005 | JANUAR ARI SANDI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0003 | JESSLYN NATHAN ADRIELA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0032 | JESSY RAVINA PUTRI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0035 | JOHNY MARDJONI AS | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0001 | JULIANTO HENRY DHARMA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0058 | JULIYANTO | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0070 | KAILANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0021 | KAMLAH | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0024 | KHIAN THIAN | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0025 | KHIAN THIAN | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0017 | KHOLIFAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0011 | KINAR MAIZA ZHAFIRA | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0010 | KISMAN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0018 | KON TJIONG | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0051 | LEFI CORNIADI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0004 | LELY ALINAVALY | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0048 | LIM TOENG DJAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0060 | LISA KUSMIATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0079 | LISA KUSMIATI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0018 | LISNA SARI NINGRUM | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0025 | LULU DWI RACHMA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0030 | MARDIANA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0062 | MARDIANA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0067 | MARDIANA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0022 | MARIANI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0035 | MELIAH TAJIB | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0021 | MOCHAMAD NURHADI | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| D0003 | MUHAMMAD ANSHORI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| A0005 | MUHAMMAD BINTANG AL YAFI | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0001 | MUHAMMAD ILHAM RAMADHAN | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0054 | MUHAMMAD KURNIAWAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0003 | MUHAMMAD RAIHAN AS SHADQI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0074 | MUHAMMAD RASYID | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0002 | MUK TJIAN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0016 | NABILA AINI HIDAYATUN NISA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0029 | NENENG PERMANAWATI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0028 | NUR AISAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0011 | NURSAIDAH | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0037 | NYIMAS MEIRIAH RIDHA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0031 | OKTA SAKTIYANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0023 | OKTARINA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0003 | PANI PRONIKA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0023 | PHAN DJOEN DJIE | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0036 | PUJI LESTARI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0073 | RASYA INDRIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0005 | RIADINA RITONGA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0013 | RITA DIANI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0002 | ROSITA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0006 | RUDOLF PASARIBU | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0066 | RUSMIDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0026 | SAMSU | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0004 | SARIPA AINI LUBIS | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| D0002 | SARTINI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0027 | SHERINA OTARIA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0007 | SINDITYA PUTRI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0043 | SITI ANISAH | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0001 | SOFIAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| D0007 | SOPIAH | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| D0004 | SRI SULASTRI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0007 | SRI WANTI PERJANUKI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0012 | SUFEBRUNADI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0059 | SUMARNI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0030 | SUMARNI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| D0008 | SUNARDI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| C0033 | SUPRAPTI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| D0010 | SURIATI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0077 | SURISMANSYAH | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0008 | SURYAMI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0038 | SUSTINI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0029 | SYAMSIAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0069 | SYAMSUMIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0006 | THONG A TJHIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0071 | TJEN NJUK LIANG | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0001 | TJHIN DJOEN TJHOEN | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0028 | TJIK ANI | dr. ZULKARNAIN, Sp.B, Subsp. Onk. (K) | BPJS | |
| C0036 | TURSINI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0053 | VIKING NOVITA DEWI | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0044 | WAHID HASYIM | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0061 | WARTINA | dr. YOGI YAMANI, Sp. B | BPJS | |
| B0019 | WISNU RAHAYU | dr. ARINAL PAHLEVI, Sp.D.V. | BPJS | |
| B0039 | YANDY ARFANDY | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0049 | YANTI TESALONIKA SITUMEANG | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0012 | YUDI OKTRIADI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0034 | YUHANA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0024 | YUNITA HAIRANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0055 | ZIVANNA MIKHAILA IVANTRI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |