| Reason | |||
|---|---|---|---|
PT Rickyputra Pratama | 00*5**4****17**0 | Rp 1,534,434,000 | Tidak ada Bukti Izin PAK/Sub PAK |
| 0028348290001000 | Rp 1,549,141,000 | - | |
PT Vita Bella Fortuna | 0030188205017000 | Rp 1,554,063,500 | Tidak hadir saat pembuktian kualifikasi |
| 0017797895003000 | Rp 1,576,905,000 | Tidak hadir saat pembuktian kualifikasi | |
| 0314562885034000 | Rp 0 | - | |
| 0028353449001000 | Rp 0 | - | |
PT Sentrum Diagnostik Indonesia | 00*1**3****17**0 | Rp 0 | - |
CV Herda Ripta Loka | 0027481076002000 | Rp 0 | - |
PT Jakarta Sejahtera Medika | 0022504765028000 | Rp 0 | - |
| 0210443107008000 | Rp 0 | - | |
CV Pratama Kencana Jaya | 00*8**4****09**0 | Rp 0 | - |
CV Bima Sakti | 0312792591003000 | Rp 0 | - |
CV Srikandi Mandiri | 00*4**5****09**0 | Rp 0 | - |
PT Setia Anugrah Medika | 00*2**1****48**0 | Rp 0 | - |
Mulia Samindo | 00*1**4****24**0 | Rp 0 | - |
CV Extra Persada | 00*5**2****01**0 | Rp 0 | - |
CV Putraco Millenium | 0019798396009000 | Rp 0 | - |
| 0312632383432000 | Rp 0 | - | |
CV Sandi Fara Utami | 00*0**6****15**0 | Rp 0 | - |