| Reason | |||
|---|---|---|---|
CV Khairunnisa | 00*3**7****13**0 | Rp 578,420,000 | - |
CV Elvis Sarana Medilab | 00*9**9****21**0 | Rp 591,692,000 | Tidak memenuhi persayaratan kualifikasi Bab V LDK Huruf B angka 3 : SPT tahun 2012 tidak terlampir |
CV Mutiara Mandiri | 0025022773113000 | Rp 589,500,000 | Tidak memenuhi persayaratan Bab XII : Persyaraan Dokumen Teknis : ketidaksesuaian brosur dan gambar tidak melampirkan brosur tempat tidur dan bed side kabinet |
CV Taradifa Global Sukses | 03*1**9****13**0 | - | - |
CV Cipta Insan Mandiri | 00*5**0****07**0 | - | - |
| 0021775119102000 | - | - | |
PT Hansrigading | 00*1**6****01**0 | - | - |
Raytaya Junior Mogana | 00*0**9****01**0 | - | - |
| 0029323102101000 | - | - | |
CV Bimantara Jaya | 00*7**3****06**0 | - | - |
| 0031527716101000 | - | - | |
Bamonka Indah, PT | 0019023076102000 | - | - |
CV Panca Mitra Mandiri | 00*7**8****02**0 | - | - |
CV Graha Mitra Sejati | 0025909508124000 | - | - |
PT Mesc Medika | 0029320603101000 | - | - |
CV Alif | 00*2**1****01**0 | - | - |
CV Mitra Avia Prima | 00*6**7****01**0 | - | - |
| 0029320991101000 | - | - | |
| 0016876179101000 | - | - | |
CV Aceh Medika | 0028615177101000 | - | - |
CV Ramdisya Abadi | 00*1**5****02**0 | - | - |
| 0029320876101000 | - | - | |
CV Sahara Mulya Pratama | 00*0**6****01**0 | - | - |
CV Moris Perkasa | 0020785986101000 | - | - |
| 0025030735101000 | - | - | |
| 0025031394101000 | - | - | |
PT Ata Biomedical | 0029321577101000 | - | - |
CV Permata Indah | 0312959299125000 | - | - |
| 0026891580101000 | - | - | |
CV Sembilan Intan Yasatama | 0032194516101000 | - | - |
CV Razila Rizkina | 00*6**7****01**0 | - | - |
CV Malaka Jaya | 00*1**2****01**0 | - | - |
CV Ayaz Hilman | 0030039408101000 | - | - |
CV Banna Coy | 0011011616101000 | - | - |
CV Deli Medika | 02*1**0****25**0 | - | - |
CV Katachi | 00*9**4****01**0 | - | - |
| 0026891879104000 | - | - | |
CV Neubri Berkat | 00*1**7****01**0 | - | - |
PT Raja Teuka Perkasa | 00*6**8****01**0 | - | - |
| 0314720020423000 | - | - | |
| 0025287491112000 | - | - | |
| 0312693021124000 | - | - | |
PT Blang Sakti | 00*0**4****01**0 | - | - |
CV Yudha Bakti Persada | 0210387643122000 | - | - |
PT Mega Andalan Kalasan | 00*8**3****42**0 | - | - |
| 0026892364101000 | - | - | |
CV Farfiden Brothers | 0032031676101000 | - | - |
CV Tegab | 00*6**8****01**0 | - | - |