| ID. REKANAN | : | 208262 |
| NAMA REKANAN | : | PT.TIRTA PUTRA MEDIKA |
| ALAMAT | : | JL. SIMPANG DARMO PERMAI SELATAN I/26 SURABAYA |
| : | 3bc096577f0979f35722774ed9628f2c010705720ef0ece788faa7a636f7de7a | |
| NPWP | : | 31.334.925.0-618.000 |
| NO | TGL.PENETAPAN | NAMA PAKET | NILAI PAGU | NILAI HPS | NILAI PENAWARAN |
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