| A0024 | ABQARY KENZIE KURNIAWAN | DR SAFITRI, SpTHT | BPJS | |
| A0003 | BUNGA DIVA HERMANTO | DR SAFITRI, SpTHT | BPJS | |
| A0028 | BURMAN | dr HERDIAN PRIMA ARIONATA, SP.PD | BPJS | |
| A0007 | DODI HARYONO. T | dr HERDIAN PRIMA ARIONATA, SP.PD | BPJS | |
| A0027 | ERNI TOSIANI | DR SAFITRI, SpTHT | BPJS | |
| A0022 | HAIKAL ARSYA PRADITYA | dr NANDA ANESSA MINANTI, Sp.A | BPJS | Resep Sedang Dientry |
| A0001 | HERIYANTO | DR SAFITRI, SpTHT | BPJS | |
| A0020 | INDRA GUSTIAWAN | DR SAFITRI, SpTHT | BPJS | |
| A0013 | JUMARTI ELIZA | DR SAFITRI, SpTHT | BPJS | |
| A0017 | LINGAWATI | dr HERDIAN PRIMA ARIONATA, SP.PD | BPJS | |
| A0014 | M. RIDHO ILAHI | dr MUCHAMAD APRIYANTO, M.Mes.Sc,Sp.D.V.E | BPJS | |
| A0010 | MAUWILI | DR SAFITRI, SpTHT | BPJS | |
| A0029 | MERI NATALIA | DR SAFITRI, SpTHT | BPJS | |
| A0030 | MILYA AINI | DR SAFITRI, SpTHT | BPJS | |
| A0009 | MINZI | dr HERDIAN PRIMA ARIONATA, SP.PD | BPJS | |
| A0002 | MUSTAPA LUFTI | dr HERDIAN PRIMA ARIONATA, SP.PD | BPJS | |
| A0015 | NURDIN | DR SAFITRI, SpTHT | UMUM | |
| A0005 | QINARA FEBRIYANTI | dr NANDA ANESSA MINANTI, Sp.A | BPJS | Resep Sedang Dientry |
| A0011 | RAYYANSA MALIK AHMAT | dr NANDA ANESSA MINANTI, Sp.A | BPJS | |
| A0008 | RENTI DESMAINI | dr HERDIAN PRIMA ARIONATA, SP.PD | BPJS | |
| A0023 | RUSLI KADRI | dr HERDIAN PRIMA ARIONATA, SP.PD | BPJS | |
| A0033 | TN. MAHARUDIN | dr HERDIAN PRIMA ARIONATA, SP.PD | BPJS | |
| A0012 | VINKA AULIA AVISHA | DR SAFITRI, SpTHT | BPJS | |
| A0032 | VIONA AGALIA PREDELIKA | dr MUCHAMAD APRIYANTO, M.Mes.Sc,Sp.D.V.E | UMUM | Belum Diproses Bagian Apotek |
| A0025 | YUSNIDAR | DR SAFITRI, SpTHT | BPJS | |
| A0006 | ZARMAN | dr HERDIAN PRIMA ARIONATA, SP.PD | BPJS | |
| A0016 | ZILMA HARATI | DR SAFITRI, SpTHT | BPJS | |
| A0004 | ZULKARNAIN | DR SAFITRI, SpTHT | BPJS | |