No Nama Peserta NPWP Harga Penawaran Harga Terkoreksi Harga Negosiasi  
1 PT. AMPM HEALTHCARE INDONESIA 03.040.550.0-037.000 Rp. 1.031.005.910,00 Rp. 1.031.005.910,00 Rp. 937.278.100,00