| ID. REKANAN | : | 4997047 |
| NAMA REKANAN | : | PT. MITRA MEDIKA UTAMA |
| ALAMAT | : | JL. DR. WAHIDIN NO. 68 D |
| : | 76fa3d49781d18121da789d237b3c29aaea8f5abcd80cffd14fcef0f23041aea | |
| NPWP | : | 02.563.134.2-517.000 |
| NO | TGL.PENETAPAN | NAMA PAKET | NILAI PAGU | NILAI HPS | NILAI PENAWARAN |
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