| Reason | |||
|---|---|---|---|
CV Wira Aria Medika | 00*2**6****31**0 | Rp 1,005,890,000 | - |
CV Utama Medika Raya | 00*7**8****31**0 | Rp 1,008,296,961 | - |
CV Yoza Ucha Pratama | 00*4**7****31**0 | Rp 1,011,344,710 | - |
| 0027147149331000 | Rp 1,014,900,418 | Tidak melampirkan Jaminan Penawaran | |
PT Bagas Artha Makmur | 0317003614331000 | - | - |
PT Inzan Permata | 00*3**7****12**0 | - | - |
| 0026097949332000 | - | - | |
PT Enseval Medika Prima | 00*3**0****07**0 | - | - |
CV Arfyno Family | 0026938456332000 | - | - |
CV Kharisma Prima | 00*2**3****21**0 | - | - |