| Reason | |||
|---|---|---|---|
PT Mitra Bina Medika | 00*7**9****17**0 | Rp 3,670,000,000 | - |
PT Vanda Diagnostika | 00*2**1****01**0 | Rp 3,675,000,000 | TMS/Tidak menunjukkan Dokumen Kualifikasi dan Penawaran asli |
| 0022021034218000 | Rp 3,688,000,000 | TMS/KD tidak memenuhi syarat (tidak melampirkan Daftar Pengalaman Perusahaan) | |
PT Agora Medika | 00*9**3****11**0 | - | - |
| 0030682207216000 | - | - | |
CV Gerbang Madani | 00*1**5****15**0 | - | - |
PT Intan Persada Global | 00*4**3****15**0 | - | - |
| 0030444244215000 | - | - | |
Mulya Mitra Mandiri | 00*9**0****14**0 | - | - |
Berlian Anugerah Medika | 0030069512215000 | - | - |
PT Mega Andalan Kalasan | 00*8**3****42**0 | - | - |
PT Graha Raya Utama | 00*1**7****01**0 | - | - |
PT Mutiara Rizky Abadi | 0026936690216000 | - | - |
| 0031643265017000 | - | - | |
CV Rani Manunggal Sehati | 0023267974211000 | - | - |
CV Putra Mandiri | 00*6**4****31**0 | - | - |
CV Sondang Nabayu | 0024828874214000 | - | - |
| 0010612281051000 | - | - | |
CV Iksfa | 00*8**6****24**0 | - | - |
CV Wahana Abadi | 00*0**8****16**0 | - | - |
CV Sri Diaz Jaya | 00*2**7****16**0 | - | - |
CV Multi Sarana Laboratory | 0028048171201000 | - | - |
CV Sinar Merfa Lestari | 0025381823215000 | - | - |
| 0010612489051000 | - | - | |
PT Harapan Sinar Abadi | 00*6**7****11**0 | - | - |
Bersatu Sukses | 00*7**8****15**0 | - | - |
CV Cipta Bintan Mandiri | 00*0**6****14**0 | - | - |
Daya Sagotra Dua Ribu | 00*8**0****23**0 | - | - |
CV Mitra Usaha Andalas | 00*4**0****01**0 | - | - |
PT Gulang Medica Indah | 00*8**1****11**0 | - | - |
CV Pekan Medical Supplier | 00*4**1****16**0 | - | - |
CV Tifanny Jaya Abadi | 00*3**0****16**0 | - | - |
PT Cahaya Putra Mandiri Sukses | 00*0**5****16**0 | - | - |
| 0013753892062000 | - | - | |
CV Lintas Nusantara | 0027976901306000 | - | - |