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Combined RCM Approval Form
-
#
Patient ID
Patient Name
Approval for
ACM
State
Created Date
Updated Date
Infection Date
Days
Action
He
9738192600
Ritu somdatt Choudhry
Prospect Loss
Approved
Rajasthan
Approved
Approved
2/12/24, 3:23 pm
28/2/25, 12:38 pm
He
ACM has to fill TLC,DLC Report
He
9841571202
Ashya jothi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/11/23, 6:23 am
28/11/23, 9:09 am
He
ACM has to fill TLC,DLC Report
He
9994222692
MohammedAsim
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/11/23, 6:26 am
10/1/24, 3:43 am
He
ACM has to fill TLC,DLC Report
He
9962419903
Dhomodharan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/11/23, 6:27 am
28/11/23, 11:52 am
He
ACM has to fill TLC,DLC Report
He
9503943454
Subhash Bhosle
Patient Loss
Approved
Maharashtra
Approved
Approved
27/11/23, 6:28 am
28/11/23, 11:52 am
He
ACM has to fill TLC,DLC Report
He
9604688015
Bhairavnat More
Patient Loss
Approved
Maharashtra
Approved
Approved
27/11/23, 6:34 am
28/11/23, 9:02 am
He
ACM has to fill TLC,DLC Report
He
9994640231
Harini
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/11/23, 6:35 am
28/11/23, 11:37 am
He
ACM has to fill TLC,DLC Report
He
7682030393
Nalini Hota
Patient Loss
Approved
Odisha
Approved
Approved
27/11/23, 6:36 am
28/11/23, 11:45 am
He
ACM has to fill TLC,DLC Report
He
9475650934
Nitai Charan Samantha
Patient Loss
Approved
West Bengal
Approved
Approved
27/11/23, 6:37 am
28/11/23, 11:54 am
He
ACM has to fill TLC,DLC Report
He
7908040810
Daya Ram Pradhan
Patient Loss
Approved
West Bengal
Approved
Approved
27/11/23, 6:37 am
28/11/23, 12:01 pm
He
ACM has to fill TLC,DLC Report
He
9577955207
Ajit Kumar Roy
Patient Loss
Approved
Assam
Approved
Approved
27/11/23, 6:38 am
28/11/23, 7:04 am
He
ACM has to fill TLC,DLC Report
He
7888928018
Babu Nandan Sah
Patient Loss
Approved
New Delhi
Approved
Approved
27/11/23, 6:50 am
28/11/23, 6:45 am
He
ACM has to fill TLC,DLC Report
He
7501280735
Amiya Samanta
Patient Loss
Approved
West Bengal
Approved
Approved
27/11/23, 6:51 am
28/11/23, 11:42 am
He
ACM has to fill TLC,DLC Report
He
8250515346
Nayan Tamang
Patient Loss
Approved
West Bengal
Approved
Approved
27/11/23, 6:51 am
28/11/23, 11:31 am
He
ACM has to fill TLC,DLC Report
He
9799781908
Lallu Ram
Patient Loss
Approved
Rajasthan
Approved
Approved
27/11/23, 6:53 am
28/11/23, 6:42 am
He
ACM has to fill TLC,DLC Report
He
6294167509
Khagendra Nath Nayak
Patient Loss
Approved
West Bengal
Approved
Approved
27/11/23, 6:54 am
28/11/23, 7:13 am
He
ACM has to fill TLC,DLC Report
He
8637351694
Sujauddin
Patient Loss
Approved
West Bengal
Approved
Approved
27/11/23, 6:55 am
28/11/23, 7:21 am
He
ACM has to fill TLC,DLC Report
He
7900640337
Anand Kumar Jain
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/11/23, 6:57 am
28/11/23, 11:55 am
He
ACM has to fill TLC,DLC Report
He
9963320390
Renuka
Patient Loss
Approved
Telangana
Approved
Approved
27/11/23, 6:58 am
28/11/23, 6:40 am
He
ACM has to fill TLC,DLC Report
He
8388980230
Ranjit K Mondal
Patient Loss
Approved
West Bengal
Approved
Approved
27/11/23, 6:59 am
28/11/23, 11:46 am
He
ACM has to fill TLC,DLC Report
He
8118905581
Nengneichong
Patient Loss
Approved
Manipur
Approved
Approved
27/11/23, 7:03 am
28/11/23, 11:39 am
He
ACM has to fill TLC,DLC Report
He
9414825463
Sanwat ram
Patient Loss
Approved
Rajasthan
Approved
Approved
27/11/23, 7:04 am
28/11/23, 11:49 am
He
ACM has to fill TLC,DLC Report
He
9415945627
Uma Mishra
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/11/23, 7:05 am
28/11/23, 9:02 am
He
ACM has to fill TLC,DLC Report
He
8729906804
Khualzaham Khongsai
Patient Loss
Approved
Manipur
Approved
Approved
27/11/23, 7:05 am
28/11/23, 11:44 am
He
ACM has to fill TLC,DLC Report
He
8791313050
MP Singh
Patient Loss
Approved
Uttarakhand
Approved
Approved
27/11/23, 7:08 am
28/11/23, 7:02 am
He
ACM has to fill TLC,DLC Report
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