| Reason | |||
|---|---|---|---|
| 0826392045107000 | Rp 207,746,000 | - | |
| 0748410057107000 | Rp 208,007,800 | - | |
Masagena Mandiri Medica | 0032057192805000 | Rp 143,990,000 | Disaat Klarifikasi Administrasi, Kualifikasi, Teknis, dan Harga, Penyedia tersebut tidak hadir |
| 0029076437107000 | - | - | |
| 0028891125107000 | - | - | |
| 0020324232107000 | - | - | |
| 0812086262647000 | - | - | |
| 0704328533107000 | - | - | |
| 0318168341518000 | - | - | |
PT Akses Global Utama | 09*0**0****32**0 | - | - |
CV Riztama-7 | 00*2**4****01**0 | - | - |
| 0020324588107000 | - | - | |
| 0828002832107000 | - | - | |
| 0750262024107000 | - | - | |
| 0826076937107000 | - | - | |
| 0028891661107000 | - | - | |
| 0837753581107000 | - | - | |
| 0720454321107000 | - | - | |
PT Putra Multi Cipta Teknikindo | 06*6**1****43**0 | - | - |
| 0662531458444000 | - | - | |
| 0703851808101000 | - | - | |
| 0033412263626000 | - | - | |
Salam Karya Prestasi | 08*7**8****25**0 | - | - |
| 0316642032407000 | - | - | |
| 0843927435541000 | - | - | |
| 0740941034604000 | - | - | |
CV Amal Mulia | 00*9**9****02**0 | - | - |
CV Bahagia Baru | 0031283344101000 | - | - |
| 0316802479424000 | - | - | |
| 0731824421107000 | - | - |