| No | Nama Peserta | K | A | T | P | PT | HN | H | P | PK | Alasan |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | PT. Artha Gabe Pratama - 31.539.277.9-407.000 | Rp. 3.838.480.000,00 |
Rp. 0,00 di bawah 80% Nilai HPS |
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| 2 | PT. Tirtanata Medika - 31.472.002.0-423.000 | |
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| 3 | PT. SIBAYAK SARINEMBAH PERDANA - 01.956.531.6-423.000 | |
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| 4 | PT. PUTRA KARYA SENTOSA - 02.748.852.7-009.000 | |
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| 5 | PT. INDOFARMA GLOBAL MEDIKA - 01.061.184.6-051.000 | |
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| 6 | CV. Karya Jaya - 01.430.369.7-416.000 | |
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| 7 | PT. Cipta Sukses Medika - 31.357.256.2-403.000 | |
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| 8 | PT. Zalfa Mandiri - 21.080.217.9-432.000 | |
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| 9 | PT. NUR IHSAN MINASAMULIA - 01.146.820.4-416.000 | |
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| 10 | CV. Wulandari Pratama - 75.073.530.0-401.000 | |
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| 11 | pt.trisula guna jaya - 03.341.837.7-401.000 | |
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| 12 | PT. HERNITA JAYA - 01.572.506.2-009.000 | |
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| 13 | CV. BATAVIA MAS - 31.302.461.4-411.000 | |
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| 14 | PT. ASTHA PURNAMA PRIMAPUTRI - 01.548.449.6-423.000 | |
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- A Evaluasi Administrasi
- T Evaluasi Teknis
- ST Skor Teknis
- P Penawaran
- PT Penawaran Terkoreksi
- HN Hasil Negosiasi
- SH Skor Harga
- SA Skor Akhir
- K Evaluasi Kualifikasi
- SK Skor Kualifikasi
- SB Skor Pembuktian
- H Evaluasi Harga/Biaya
- P Pemenang
- PK Pemenang Berkontrak