| Reason | |||
|---|---|---|---|
| 0315656900424000 | Rp 1,796,707,000 | - | |
PT Sumber Sugih Medika | 03*6**3****24**0 | Rp 1,855,590,000 | - |
| 0210443107008000 | Rp 1,868,834,000 | - | |
| 0031946056444000 | Rp 1,950,124,660 | Tidak melampirkan dokumen penawaran teknis | |
CV Medistra Pegagan | 00*0**0****29**0 | Rp 1,500,000,000 | Tidak melampirkan dokumen penawaran teknis |
| 0016133456422000 | - | - | |
| 0022354591429000 | - | - | |
CV Laksana Jaya | 00*8**7****29**0 | - | - |
| 0023912306304000 | - | - | |
CV Usaha Maju Sejahtera | 02*0**8****32**0 | - | - |
PT Kualita Medika Putera | 02*0**3****29**0 | - | - |
| 0021003199003000 | - | - | |
Pilar Persada | 00*7**8****16**0 | - | - |
| 0027032580002000 | - | - | |
Perkasa Halomoan Pane | 03*5**9****22**0 | - | - |
| 0032856148444000 | - | - | |
Medquest Jaya Global | 00*3**3****23**0 | - | - |
PT Yupiter Cabang Bandung | 00*2**1****29**1 | - | - |
CV Extra Persada | 00*5**2****01**0 | - | - |
PT Guna Bhakti Utama | 0210334371424000 | - | - |
CV Herda Ripta Loka | 0027481076002000 | - | - |
| 0028349595001000 | - | - | |
| 0210801213432000 | - | - | |
| 0027488527009000 | - | - | |
PT Tirta Raditya Indonesia | 0032242364008000 | - | - |
| 0028348290001000 | - | - | |
| 0210802179432000 | - | - |