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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
8072756338
Babu
Patient Loss
Approved
Tamil Nadu
Approved
Approved
14/12/23, 4:24 am
18/12/23, 10:15 am
He
ACM has to fill TLC,DLC Report
He
9444024586
Mohammed Harris Rahman
Patient Loss
Approved
Tamil Nadu
Approved
Approved
15/12/23, 8:12 am
18/12/23, 11:10 am
He
ACM has to fill TLC,DLC Report
He
9602006180
Bhuri Devi
Patient Loss
Approved
Rajasthan
Approved
Approved
16/12/23, 7:19 am
18/12/23, 5:22 am
He
ACM has to fill TLC,DLC Report
He
9501099306
Indra Devi
Patient Loss
Approved
Rajasthan
Approved
Approved
16/12/23, 9:32 am
18/12/23, 5:22 am
He
ACM has to fill TLC,DLC Report
He
9816528452
Anjana
Patient Loss
Approved
Punjab
Approved
Approved
16/12/23, 10:38 am
18/12/23, 5:22 am
He
ACM has to fill TLC,DLC Report
He
9764162511
Bapu Kudale
Patient Loss
Approved
Maharashtra
Approved
Approved
16/12/23, 1:52 pm
18/12/23, 4:33 am
He
ACM has to fill TLC,DLC Report
He
9763717021
Netaji Ghadge
Patient Loss
Approved
Maharashtra
Approved
Approved
16/12/23, 1:53 pm
18/12/23, 4:20 am
He
ACM has to fill TLC,DLC Report
He
9822124126
Magal kadam
Patient Loss
Approved
Maharashtra
Approved
Approved
16/12/23, 1:55 pm
18/12/23, 4:24 am
He
ACM has to fill TLC,DLC Report
He
8001166613
Rajyadhar Mondal
Patient Loss
Approved
West Bengal
Approved
Approved
18/12/23, 10:24 am
22/12/23, 6:50 am
He
ACM has to fill TLC,DLC Report
He
9064728226
Anesa Bibi
Patient Loss
Approved
West Bengal
Approved
Approved
18/12/23, 10:24 am
22/12/23, 6:55 am
He
ACM has to fill TLC,DLC Report
He
9830460334
Krishnendu Das
Patient Loss
Approved
West Bengal
Approved
Approved
18/12/23, 10:25 am
22/12/23, 5:59 am
He
ACM has to fill TLC,DLC Report
He
9775584375
Dulal Ch Das
Patient Loss
Approved
West Bengal
Approved
Approved
18/12/23, 10:25 am
22/12/23, 6:50 am
He
ACM has to fill TLC,DLC Report
He
7480887888
Samser Singh
Patient Loss
Approved
West Bengal
Approved
Approved
18/12/23, 10:26 am
22/12/23, 7:00 am
He
ACM has to fill TLC,DLC Report
He
9682551874
Bhabani Chakraborty
Patient Loss
Approved
West Bengal
Approved
Approved
18/12/23, 10:26 am
22/12/23, 5:59 am
He
ACM has to fill TLC,DLC Report
He
7619243308
Ajit Kumar
Patient Loss
Approved
Jharkhand
Approved
Approved
18/12/23, 10:29 am
5/1/24, 12:37 pm
He
ACM has to fill TLC,DLC Report
He
6202143430
Chandsi Paswan
Patient Loss
Approved
Bihar
Approved
Approved
18/12/23, 10:31 am
22/12/23, 6:51 am
He
ACM has to fill TLC,DLC Report
He
9775822899
Jainal Khan
Patient Loss
Approved
West Bengal
Approved
Approved
18/12/23, 10:32 am
22/12/23, 7:00 am
He
ACM has to fill TLC,DLC Report
He
9007470456
Madhab Tiwari
Patient Loss
Approved
West Bengal
Approved
Approved
18/12/23, 10:32 am
22/12/23, 7:01 am
He
ACM has to fill TLC,DLC Report
He
7477559200
Usha Pathak
Patient Loss
Approved
West Bengal
Approved
Approved
18/12/23, 10:33 am
22/12/23, 6:56 am
He
ACM has to fill TLC,DLC Report
He
9475267391
Balaram Sarkar
Patient Loss
Approved
West Bengal
Approved
Approved
18/12/23, 10:34 am
22/12/23, 6:51 am
He
ACM has to fill TLC,DLC Report
He
9734675651
Siba Shankar Pradhan
Patient Loss
Approved
West Bengal
Approved
Approved
18/12/23, 10:35 am
22/12/23, 6:56 am
He
ACM has to fill TLC,DLC Report
He
9827688735
Bhamara Purty
Patient Loss
Approved
Odisha
Approved
Approved
18/12/23, 10:35 am
22/12/23, 6:56 am
He
ACM has to fill TLC,DLC Report
He
8700912721
Ajay Kumar
Patient Loss
Approved
Jharkhand
Approved
Approved
18/12/23, 10:36 am
22/12/23, 7:01 am
He
ACM has to fill TLC,DLC Report
He
7979755913
Mukund Lal Saha
Patient Loss
Approved
Jharkhand
Approved
Approved
18/12/23, 10:37 am
22/12/23, 7:00 am
He
ACM has to fill TLC,DLC Report
He
9365754958
Pratima Devi
Patient Loss
Approved
West Bengal
Approved
Approved
18/12/23, 10:38 am
22/12/23, 6:32 am
He
ACM has to fill TLC,DLC Report
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