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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
8769971090
Prem Bai Sen
Patient Loss
Approved
Rajasthan
Approved
Approved
2/12/23, 3:04 pm
9/12/23, 7:03 am
He
ACM has to fill TLC,DLC Report
He
9365267070
Tarej Kasung
Patient Loss
Approved
Manipur
Approved
Approved
4/12/23, 6:47 am
6/12/23, 10:41 am
He
ACM has to fill TLC,DLC Report
He
7629981955
Takhellambam Yaishana Devi
Patient Loss
Approved
Manipur
Approved
Approved
4/12/23, 6:48 am
6/12/23, 10:44 am
He
ACM has to fill TLC,DLC Report
He
8638258007
Angana Saud
Patient Loss
Approved
Assam
Approved
Approved
4/12/23, 6:48 am
6/12/23, 10:37 am
He
ACM has to fill TLC,DLC Report
He
9864765353
Sabijan Begum
Patient Loss
Approved
Assam
Approved
Approved
4/12/23, 6:49 am
6/12/23, 10:42 am
He
ACM has to fill TLC,DLC Report
He
7033709967
Ashok Bose
Patient Loss
Approved
Jharkhand
Approved
Approved
4/12/23, 6:50 am
6/12/23, 10:42 am
He
ACM has to fill TLC,DLC Report
He
8210074793
Barkat Khan
Patient Loss
Approved
Jharkhand
Approved
Approved
4/12/23, 6:50 am
6/12/23, 10:43 am
He
ACM has to fill TLC,DLC Report
He
7759938030
Ramdev Singh
Patient Loss
Approved
Bihar
Approved
Approved
4/12/23, 6:51 am
6/12/23, 10:41 am
He
ACM has to fill TLC,DLC Report
He
8415944159
Radhe
Patient Loss
Approved
Manipur
Approved
Approved
4/12/23, 6:53 am
6/12/23, 10:38 am
He
ACM has to fill TLC,DLC Report
He
7005860305
Mema Y
Patient Loss
Approved
Manipur
Approved
Approved
4/12/23, 6:53 am
6/12/23, 10:43 am
He
ACM has to fill TLC,DLC Report
He
8730019057
Gourishyam
Patient Loss
Approved
Manipur
Approved
Approved
4/12/23, 7:16 am
6/12/23, 10:37 am
He
ACM has to fill TLC,DLC Report
He
7488265279
Merasad Ali
Patient Loss
Approved
Bihar
Approved
Approved
4/12/23, 7:17 am
6/12/23, 10:44 am
He
ACM has to fill TLC,DLC Report
He
9933453292
Maya Rai
Patient Loss
Approved
West Bengal
Approved
Approved
4/12/23, 7:17 am
6/12/23, 10:43 am
He
ACM has to fill TLC,DLC Report
He
8967087416
Dulal Ghosh
Patient Loss
Approved
West Bengal
Approved
Approved
4/12/23, 7:18 am
6/12/23, 10:42 am
He
ACM has to fill TLC,DLC Report
He
8944034829
Anna Chhetri
Patient Loss
Approved
West Bengal
Approved
Approved
4/12/23, 7:20 am
6/12/23, 10:38 am
He
ACM has to fill TLC,DLC Report
He
8617381694
Swapna Sanyal
Patient Loss
Approved
West Bengal
Approved
Approved
4/12/23, 10:55 am
6/12/23, 10:43 am
He
ACM has to fill TLC,DLC Report
He
8876816285
Santa Roy
Patient Loss
Approved
West Bengal
Approved
Approved
6/12/23, 2:38 pm
8/12/23, 6:31 am
He
ACM has to fill TLC,DLC Report
He
9850386540
Kshama Kulkarni
Patient Loss
Approved
Maharashtra
Approved
Approved
6/12/23, 3:04 pm
7/12/23, 11:41 am
He
ACM has to fill TLC,DLC Report
He
9633910653
Abdul Nazar
Patient Loss
Approved
Kerala
Approved
Approved
8/12/23, 6:28 am
9/12/23, 6:53 am
He
ACM has to fill TLC,DLC Report
He
9706710197
Uma Shankar Sah
Patient Loss
Approved
New Delhi
Approved
Approved
8/12/23, 7:42 am
8/12/23, 8:53 am
He
ACM has to fill TLC,DLC Report
He
7737702035
Chandra prakash Pareek
Patient Loss
Approved
Rajasthan
Approved
Approved
9/12/23, 3:45 am
9/12/23, 7:02 am
He
ACM has to fill TLC,DLC Report
He
9748588353
Chitra Mukherjee
Patient Loss
Approved
West Bengal
Approved
Approved
10/12/23, 2:42 am
12/12/23, 10:22 am
He
ACM has to fill TLC,DLC Report
He
7586885556
Sujoy Malick
Patient Loss
Approved
West Bengal
Approved
Approved
10/12/23, 2:07 pm
12/12/23, 10:22 am
He
ACM has to fill TLC,DLC Report
He
8001511840
Ayodhya Singh
Patient Loss
Approved
West Bengal
Approved
Approved
10/12/23, 2:08 pm
11/12/23, 8:54 am
He
ACM has to fill TLC,DLC Report
He
9933355327
Tapas Das
Patient Loss
Approved
West Bengal
Approved
Approved
10/12/23, 2:08 pm
11/12/23, 8:54 am
He
ACM has to fill TLC,DLC Report
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