| B0001 | H.MUHAMMAD YAMIN YAMAN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0002 | LIAW LIE LIE | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| C0001 | TJEN TJIT BIE | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0002 | LIAUW MEN LIE | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0004 | NURITA | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0001 | ALLONA MECCA ZHAVIRA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| B0005 | NURDIAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0006 | SUANNA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0003 | RINA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0007 | SERIYANTI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| A0002 | RAFFASYA NADHIF AL FARIZI | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0004 | YUMIATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0005 | SURYANI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| C0006 | SUJONORI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0007 | IMAS SUTINI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0008 | JAP BUN MEN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| A0003 | DEFRI FABIANSYAH | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0008 | DEA DEKRISNAWATI | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0009 | BOENG MIE SIOENG | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0010 | ROHANA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0011 | RINA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0012 | DARYANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| D0001 | RISNITA | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0013 | INDRA STELLINGA GAUTAMA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0014 | ROSWITA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0015 | LIM SOEI TJHIN | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0016 | WARTONO | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0017 | RITTA FIRYANI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0018 | LIE PIT NJONG | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0019 | YOSINTA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0020 | AIS DIOME | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| C0009 | ARIFUL | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0021 | ASNAINI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0022 | NHAVA AZZAHRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0023 | LIOE KIM LIONG | dr. YOGI YAMANI, SP. B | BPJS | |
| C0010 | SUPRAPTO | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| B0024 | DESI TRIJAYANTI | dr. YOGI YAMANI, SP. B | BPJS | |
| C0011 | M. SANI MAULANA | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| D0002 | SUHARNI | dr. LIYAH GIOVANAH, Sp. P | BPJS | |
| B0025 | EVI TRIANA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0026 | DWI FIRMANSYAH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0027 | LIZA | dr. YUDI YUSRIZAL, Sp.PD | BPJS | |
| B0028 | A MAN | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0004 | WARTIA | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| A0005 | MARISTA SAPUTRI | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0029 | WINDRA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0030 | RUDY BONG | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0012 | RAPILIONA | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| A0006 | BOMBI SEKAR DEFENTA | dr. MUHAMMAD RUCHYAT AMAR YASIN, Sp. OG | BPJS | |
| B0031 | SUTIAWATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0032 | RIKA RISMAWATI | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0007 | AYUNIRA SOKKU KHAIRUNNISA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| C0013 | SUSIYANTI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0033 | ZULKARNAIN | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0034 | M EFENDI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0035 | SIOE PO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0036 | ERMAWATI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0014 | FITRI EKA DEWI | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0015 | MARIANI | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0016 | MAINI | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0037 | FERDI LASMAN MANURUNG | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0017 | TOYIB | dr. ANDRA VERNANDI, Sp. N | BPJS | |
| C0018 | HASMAWATY | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0038 | JULIA FITRI MURYADI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0019 | ALWANI | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| C0020 | HARIANA | dr. ENDANG KUSRENI,, Sp. JP | BPJS | |
| B0039 | ZAFIRAH ASHIKA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0021 | VIVI | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0040 | DANCE AK | dr. NOVIA NASIR, Sp. M | BPJS | |
| A0008 | DIAN MEITA FRANCIA | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |