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Combined PD Care Approval Form
#
Patient ID
Patient Name
Approval for
ACM
State
Created Date
Updated Date
Action
He
9116165700
Moti Lal Meena
Patient Loss
Approved
Rajasthan
18/8/24, 6:05 pm
4/9/24, 4:36 am
He
8840015254
Phool Kumari
Patient Loss
Approved
Uttar Pradesh
20/8/24, 4:03 am
21/8/24, 4:48 am
He
8448509516
Vijay Laxmi
Patient Loss
Approved
Uttar Pradesh
20/8/24, 4:05 am
21/8/24, 4:48 am
He
9701367992
Sujatha
Patient Loss
Approved
Telangana
21/8/24, 4:26 am
21/8/24, 4:48 am
He
9529511111
Parvati Sen
Patient Loss
Approved
Rajasthan
21/8/24, 7:42 am
22/8/24, 4:21 am
He
9888455231
Karamvir Khajuria
Patient Loss
Approved
Punjab
21/8/24, 1:14 pm
22/8/24, 4:21 am
He
9848959976
Balaiah. A
Patient Loss
Approved
Telangana
22/8/24, 5:28 am
24/8/24, 10:15 am
He
9824258932
Sahenazbanu Pathan
Patient Loss
Approved
Gujarat
22/8/24, 5:58 am
31/8/24, 8:53 am
He
9711555532
Atul Dham
Patient Loss
Approved
Uttarakhand
22/8/24, 12:03 pm
23/8/24, 4:23 am
He
8104333000
Norat Mal Sharma
Patient Loss
Approved
Rajasthan
23/8/24, 4:00 am
28/8/24, 9:14 am
He
9586043609
Harmit Gamdha
Patient Loss
Approved
Gujarat
23/8/24, 4:15 am
24/8/24, 10:16 am
He
9842778777
Muruguesh.E.M
Patient Loss
Approved
Tamil Nadu
23/8/24, 6:28 am
24/8/24, 10:16 am
He
6395658268
Mehrun Nisha
Patient Loss
Approved
Uttarakhand
23/8/24, 6:37 am
28/8/24, 9:14 am
He
8765968947
Ruchi Sharma
Patient Loss
Approved
Uttar Pradesh
23/8/24, 1:50 pm
24/8/24, 10:16 am
He
6307438600
Virasat Husain
Patient Loss
Approved
Uttar Pradesh
23/8/24, 1:51 pm
24/8/24, 10:17 am
He
6302632730
Syeda, Aziz Banu
Patient Loss
Approved
Telangana
24/8/24, 1:36 pm
26/8/24, 8:37 am
He
9440230445
Bakkanna
Patient Loss
Approved
Telangana
25/8/24, 1:09 pm
26/8/24, 8:37 am
He
9160328258
Pogu Rani. R
Patient Loss
Approved
Telangana
25/8/24, 1:11 pm
26/8/24, 8:37 am
He
9849893512
Mohammad Rajakhan
Patient Loss
Approved
Telangana
28/8/24, 5:12 am
28/8/24, 9:13 am
He
8958136165
Naresh Rana
Patient Loss
Approved
Uttarakhand
28/8/24, 6:05 am
28/8/24, 9:14 am
He
9068300856
Suresh chandra shadma.
Patient Loss
Approved
Uttarakhand
28/8/24, 6:07 am
28/8/24, 9:15 am
He
9413364434
Ramesh Chand sharma
Patient Loss
Approved
Rajasthan
29/8/24, 2:56 am
29/8/24, 11:24 am
He
9549788389
Pushp Raj Singh
Patient Loss
Approved
Rajasthan
29/8/24, 2:57 am
29/8/24, 11:24 am
He
8334812345
Nageshwar Prasad
Patient Loss
Approved
Bihar
30/8/24, 8:37 am
5/11/24, 9:43 am
He
9836056940
Mitali Ghosh
Patient Loss
Approved
West Bengal
30/8/24, 10:12 am
5/11/24, 5:51 am
He
7014630254
Krishna Garg
Patient Loss
Approved
Rajasthan
30/8/24, 4:03 pm
31/8/24, 3:44 am
He
7587248447
Harshit sukla
Patient Loss
Approved
Chhattisgarh
2/9/24, 3:03 am
2/9/24, 4:37 am
He
9926194426
Dhanraj Gupta
Patient Loss
Approved
Chhattisgarh
2/9/24, 3:04 am
2/9/24, 4:36 am
He
9131967701
Amitkumar Sharma
Patient Loss
Approved
Chhattisgarh
2/9/24, 4:02 am
13/9/24, 10:02 am
He
9441176521
Bala swami. Ch
Patient Loss
Approved
Telangana
2/9/24, 9:13 am
4/9/24, 4:55 am
He
8978929019
Jameel Sulthana
Patient Loss
Approved
Telangana
2/9/24, 9:16 am
4/9/24, 4:55 am
He
6376464620
Ranjeet Singh
Patient Loss
Approved
Rajasthan
3/9/24, 4:06 am
12/9/24, 8:44 am
He
9977624727
Gautam Agrawal
Patient Loss
Approved
Madhya Pradesh
3/9/24, 4:34 pm
5/9/24, 6:11 am
He
7738967083
Farida Ansari
Patient Loss
Approved
Uttar Pradesh
8/9/24, 11:58 am
19/9/24, 4:39 am
He
9797965163
Najar sumaya
Patient Loss
Approved
J&K
8/9/24, 12:57 pm
9/9/24, 5:14 am
He
8240228868
Chaturbhuj Patra
Patient Loss
Approved
West Bengal
9/9/24, 7:00 am
6/1/25, 10:00 am
He
9837442771
Dilip Bind
Patient Loss
Approved
New Delhi
9/9/24, 8:23 am
10/9/24, 3:38 am
He
9820298469
Uzair Ansari
Patient Loss
Approved
Maharashtra
9/9/24, 7:35 pm
15/10/24, 5:06 am
He
8826519380
Rajkumari Prasad
Patient Loss
Approved
Chhattisgarh
10/9/24, 5:20 am
11/9/24, 3:54 am
He
8357858598
Rajni Tripathi
Patient Loss
Approved
Madhya Pradesh
11/9/24, 3:44 pm
13/9/24, 10:02 am
He
7002067045
Pemalline Marak
Patient Loss
Approved
Megalaya
11/9/24, 5:42 pm
25/9/24, 4:05 am
He
8810606219
Mohd.Ansarul Haque
Patient Loss
Approved
New Delhi
12/9/24, 3:40 am
12/9/24, 11:55 am
He
9760369790
Surender kumar
Patient Loss
Approved
Uttarakhand
12/9/24, 5:19 pm
13/9/24, 6:25 am
He
6395125641
Dinesh kumar
Patient Loss
Approved
Uttarakhand
12/9/24, 5:22 pm
13/9/24, 6:25 am
He
9574853369
Manishaben Shaileshbhai
Patient Loss
Approved
Gujarat
13/9/24, 10:21 am
16/9/24, 5:32 am
He
9923986366
Anurag Zoti
Patient Loss
Approved
Maharashtra
13/9/24, 12:34 pm
16/9/24, 5:24 am
He
7906549036
Kirti Pathak
Patient Loss
Approved
Uttar Pradesh
14/9/24, 3:22 am
16/9/24, 5:24 am
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