| C0001 | RAHAYU INDARWATI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0002 | NANI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0003 | ZAIMAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0001 | ARIES PRAYOGA IKBAR | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0004 | M.A. DJUHARDIN ADJI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0002 | FRIYANTI | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0003 | DJAP A KAIJ | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0004 | THONG A TJHIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0005 | BONG DJOEN MOI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0006 | LIM FOE MIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0005 | TIARA HERNISA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0007 | TANFENNY | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0006 | SUCIPTO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| D0001 | ENDANG SYAIFULLAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0007 | ROHANA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0008 | SELO MITHA | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0009 | RIRI NEBRINA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0008 | KIMIATI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0010 | DITA ARWANI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0009 | SUFEBRUNADI | dr. SHENY AGMA, Sp. N | BPJS | |
| B0011 | YOGIE SAPUTRA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0012 | SOEI LIONG | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| C0010 | MARDINEM | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| B0013 | WINDA APRILIA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0011 | HERMAN SUNDRADY | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0014 | SARTINA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| C0012 | ATIFAH SAID ALI | dr. SHENY AGMA, Sp. N | BPJS | |
| D0002 | MARZUKI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0015 | DEDI CANDRA DINATA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0013 | SULASTRI | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0014 | AFRILIA AZAHRA | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0016 | WALIYEM | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0001 | DOMINIC VARTA PRAYUDINATA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| D0003 | LIE ENG HUAT | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0017 | ISFAH AULIA RAMADHANI | drg. F.X. DODDY SETIAWAN, Sp. Perio | BPJS | |
| B0018 | SEFTY CRISMOLA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0019 | SEFTY CRISMOLA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0020 | SEFTY CRISMOLA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0021 | SEFTY CRISMOLA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| D0004 | MUK SUI | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0022 | ZARWANDI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0023 | RUSMIDA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0024 | DEWI YUNITA SARI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0025 | ARBA'ATUN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0026 | PARIKA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0027 | PUSPITA DESVIRATI | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| B0028 | TIA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0029 | DUWI HARNI | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0030 | ZURIYANTO | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0031 | SUDARMAJI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0032 | TRI TOHAROH | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0033 | ROHATI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0034 | SUMINARTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0035 | BONG WIE WIE | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0036 | MIE YIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0037 | NIKHLAH ZANZABILA NANDA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0038 | GUSMINI HAKIM | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0015 | GUSMINI HAKIM | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| C0016 | MARRIETI PURBA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0039 | DANCE AK | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0040 | TJEN WE YING | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| A0002 | QUEENBY MEINA FERIZQIA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| D0005 | YUSNIMAR | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0041 | JAKILA | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| C0017 | ISKA NADIYATUS SOLIHAH | dr. LINGGAWATI, Sp. THT | BPJS | |
| A0003 | RANGGI ADITIA | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| C0018 | SERLY WIDIA NINGSIH | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0042 | KAMINI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0043 | AZZAH AMANDA NISHIYAMA | dr. MUHAMMAD MA'RUF, Sp. OT | BPJS | |
| B0044 | HABIBAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0045 | BONG KHUN NON | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| A0004 | MEYLALITA | dr. ENNY FEBINITA, Sp. OG | BPJS | |
| C0019 | TJIOE FO SAN | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0046 | SARI NOVITA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0020 | HJ.NYIMAS SYUFRIENI | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0021 | BUDIMAN TURNIP | dr. SHENY AGMA, Sp. N | BPJS | |
| D0006 | TAHMID | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| C0022 | ANITA KUSUMAH NINGSIH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0047 | NELLY HERLINA | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0023 | PRANIDIAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0048 | FAREL IBRAM BAIHAQI | dr. YOGI YAMANI, SP. B | BPJS | |
| B0049 | SELLA WIJAYA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0050 | SAUNI S | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0051 | MOHAMMADONG | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| C0024 | JAMIAT | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| B0052 | NOVITA DWI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0025 | FARHAN HABIB | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0053 | ASMAH | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| C0026 | SUCI TARYNDA | dr. CARLES, Sp. KJ, M, Sc | BPJS | |
| C0027 | NOURAA MIKAYLA RAHMLAN | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0028 | NOUREEN MIKAYLA RAHMLAN | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0054 | EDDY | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0055 | FIKI FEBRILIA | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| C0029 | RITA TUTIRAH | dr. ESA FREDIGUSTA, Sp.JP | BPJS | |
| B0056 | PUPUT FEBIANTI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0030 | ZAHARA | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0057 | NINING M .AKIP | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0058 | CHAZIZAH | dr. ROSALIN YUNIARTI MARUF, S.Ikom.,Sp.PD | BPJS | |
| C0031 | TJOENG ENG FI | dr. LINGGAWATI, Sp. THT | BPJS | |
| C0032 | VELEN LORENSIA DJIE | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0059 | DJIU TJHIU SIAN | dr. DAMERIA HASTARI, Sp. PD | BPJS | |
| B0060 | MAWARDI | dr. YOGI YAMANI, SP. B | BPJS | |
| B0061 | LIE KON PIN | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0033 | LINDA SITINDJAK | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0034 | BELOVA ALBEAUTY ERISON | dr. LINGGAWATI, Sp. THT | BPJS | |
| B0062 | YURNI | dr. NOVIA NASIR, Sp. M | BPJS | |
| C0035 | NURISAH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0036 | M. EDI SUSANTO | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| D0007 | ALIMAH | dr. MELFIA NAVRATILOVA, Sp. P, M. Kes | BPJS | |
| B0063 | SULIHASTUTI | dr. NOVIA NASIR, Sp. M | BPJS | |
| B0064 | WIBAWATI | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0065 | YUMNA AZZAHRA | dr ARINAL PAHLEVI, SP.D.V. | BPJS | |
| B0066 | NIKEISHA FARRAS SYIFA | drg. MUTIA AULIANY, Sp. B. M | BPJS | |
| C0037 | AMINAH | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| A0005 | ERZI AL GHANI NUR FATH | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0067 | PONIYEM | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| B0068 | DIAH SANTI ANGGRAINI | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| B0069 | TJONG SAK TJIE | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0038 | TJEW WAN PI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| ACHMAD NAWAWI. AM | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| ALFIANTO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| ZUMRONI SUHAILI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| TERIA JOHAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| ZUMRONI SUHAILI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| AISYAH SIDIKKA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| PO KHIONG | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| ZUMRONI SUHAILI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| SEPRIANTONO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| TRI NOVIANSYAH | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| DJIE KIM SIOE | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| SIOE PO | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0039 | NORA FARIDA | dr. SURYA HAFIDIANSYAH PUTRA, Sp. JP (K) | BPJS | |
| DIRA | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0040 | SUKARDI | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0070 | DENIS DWI ANDIKA | drg. ANDI DAHNIAR, Sp, KG | BPJS | |
| C0041 | TUKIMIN | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0072 | SAINI BOENARDI | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0045 | SAPIDIN HUTAGALUNG | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| C0046 | A HALIM ABU,SH | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| B0075 | REZI ZULYAWAN | dr. MEILANO ROBINSYAH, Sp. PD | BPJS | |
| C0048 | SYAHRIR UMAR | dr. RISMAN SARAGIH, Sp.S | BPJS | |
| A0007 | NAZRIL NUR AL-HAFIZ | dr. REGGY AMBARDY DWI PUTRA, Sp. A | BPJS | |
| A0008 | NAZRIL NUR AL-HAFIZ | dr. FADHILAH IHSANI, Sp.A | BPJS | |
| B0071 | TJHANG AI HOA | drg. MUTIA AULIANY, Sp. B. M | UMUM | |
| B0073 | SOPIAN | dr. MEILANO ROBINSYAH, Sp. PD | UMUM | |
| C0044 | SOPIAN | dr. MUHAMMAD TANZIL | UMUM | |
| B0076 | CATUR HADI RISTANTO | dr. MEILANO ROBINSYAH, Sp. PD | UMUM | |
| A0006 | JINGGA AMALIA DJASMINE | dr. FADHILAH IHSANI, Sp.A | UMUM | |