| Reason | |||
|---|---|---|---|
PT Fortune Medical Interlink | 0312823115907000 | Rp 742,500,000 | - |
PT Wyco Primadona | 0318221686652000 | Rp 743,999,000 | - |
PT Abusuhud Mandiri | 0315809475922000 | Rp 747,449,000 | - |
| 0317321073922000 | - | - | |
CV Gemillang | 00*9**6****21**0 | Rp 746,100,000 | Tidak melampirkan penawaran teknis |
| 0023912306304000 | - | - | |
| 0017683400921000 | - | - | |
CV Yordan | 0029585320926000 | - | - |
PT Mustika Mandiri Pratama | 0031901226077000 | - | - |
| 0029585981926000 | - | - |