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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
9906335640
Rampada Mondal
Patient Loss
Approved
West Bengal
Approved
Approved
10/12/23, 2:09 pm
12/12/23, 10:23 am
He
ACM has to fill TLC,DLC Report
He
9123790595
Samir K Gayan
Patient Loss
Approved
West Bengal
Approved
Approved
10/12/23, 2:10 pm
12/12/23, 10:21 am
He
ACM has to fill TLC,DLC Report
He
7001060766
Rudrakhs Roy
Patient Loss
Approved
West Bengal
Approved
Approved
10/12/23, 2:11 pm
12/12/23, 10:23 am
He
ACM has to fill TLC,DLC Report
He
6395895291
Veer singh
Patient Loss
Approved
Uttarakhand
Approved
Approved
10/12/23, 4:55 pm
12/12/23, 10:22 am
He
ACM has to fill TLC,DLC Report
He
9489190300
Kandhasamy
Patient Loss
Approved
Tamil Nadu
Approved
Approved
11/12/23, 4:15 am
12/12/23, 10:21 am
He
ACM has to fill TLC,DLC Report
He
6354247096
Surpal Mukeshbhai Dholi
Patient Loss
Approved
Gujarat
Approved
Approved
11/12/23, 4:48 am
11/12/23, 8:55 am
He
ACM has to fill TLC,DLC Report
He
9788257761
Rajan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
11/12/23, 5:23 am
11/12/23, 8:57 am
He
ACM has to fill TLC,DLC Report
He
9727664501
Mansur Ali
Patient Loss
Approved
Gujarat
Approved
Approved
11/12/23, 5:33 am
11/12/23, 8:56 am
He
ACM has to fill TLC,DLC Report
He
8600739202
Devmore Rajaram
Patient Loss
Approved
Maharashtra
Approved
Approved
11/12/23, 6:29 am
11/12/23, 8:53 am
He
ACM has to fill TLC,DLC Report
He
7887835598
Nirmala Joshi
Patient Loss
Approved
Jharkhand
Approved
Approved
11/12/23, 6:34 am
11/12/23, 8:55 am
He
ACM has to fill TLC,DLC Report
He
9653128026
Shrawani Sawant
Patient Loss
Approved
Maharashtra
Approved
Approved
11/12/23, 6:34 am
12/12/23, 10:22 am
He
ACM has to fill TLC,DLC Report
He
8589391416
Panbai
Patient Loss
Approved
Madhya Pradesh
Approved
Approved
11/12/23, 6:39 am
11/12/23, 8:56 am
He
ACM has to fill TLC,DLC Report
He
6351885184
Naman Rathod
Patient Loss
Approved
Gujarat
Approved
Approved
11/12/23, 6:40 am
11/12/23, 8:53 am
He
ACM has to fill TLC,DLC Report
He
9993509866
Rajesh Khurana
Patient Loss
Approved
Maharashtra
Approved
Approved
11/12/23, 6:51 am
11/12/23, 8:55 am
He
ACM has to fill TLC,DLC Report
He
6268428692
Komesh kumar Yadav
Patient Loss
Approved
Chhattisgarh
Approved
Approved
11/12/23, 6:52 am
11/12/23, 8:55 am
He
ACM has to fill TLC,DLC Report
He
9979597989
Antab Abdulla Sama
Patient Loss
Approved
Gujarat
Approved
Approved
11/12/23, 7:05 am
12/12/23, 10:23 am
He
ACM has to fill TLC,DLC Report
He
9979494590
Eliyasbhai Nagjibhai Gamit
Patient Loss
Approved
Gujarat
Approved
Approved
11/12/23, 7:06 am
11/12/23, 8:56 am
He
ACM has to fill TLC,DLC Report
He
9544285835
Saraswati. V
Patient Loss
Approved
Kerala
Approved
Approved
11/12/23, 8:47 am
18/12/23, 10:52 am
He
ACM has to fill TLC,DLC Report
He
9619125644
Mittal shah
Patient Loss
Approved
Gujarat
Approved
Approved
11/12/23, 4:45 pm
12/12/23, 10:22 am
He
ACM has to fill TLC,DLC Report
He
9080975772
Jaya Gopi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
13/12/23, 8:30 am
18/12/23, 11:10 am
He
ACM has to fill TLC,DLC Report
He
8433248030
Dipika Gupta
Patient Loss
Approved
New Delhi
Approved
Approved
13/12/23, 9:48 am
9/2/24, 5:34 pm
He
ACM has to fill TLC,DLC Report
He
9940037172
Vijayalakshmi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
13/12/23, 4:11 pm
2/8/24, 3:48 am
He
ACM has to fill TLC,DLC Report
He
7598260751
Dhanalakshmi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
13/12/23, 4:15 pm
18/12/23, 11:11 am
He
ACM has to fill TLC,DLC Report
He
9889322978
Humaira Khatun
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
14/12/23, 2:33 am
15/12/23, 4:38 am
He
ACM has to fill TLC,DLC Report
He
9841770311
Jothi mani
Patient Loss
Approved
Tamil Nadu
Approved
Approved
14/12/23, 4:20 am
18/12/23, 11:11 am
He
ACM has to fill TLC,DLC Report
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