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Combined RCM Approval Form
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#
Patient ID
Patient Name
Approval for
ACM
State
Load1.gif
Created Date
Updated Date
Infection Date
Days
Action
He
8872262775
Jaspal singh
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 4:53 pm
26/12/23, 8:44 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6230143002
Leela Devi
Patient Loss
Approved
Himachal Pradesh
Approved
Approved
22/12/23, 4:54 pm
26/12/23, 8:50 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9717535468
Neelam Tiwari
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 4:55 pm
26/12/23, 8:48 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9914535782
Madan Lal
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 4:55 pm
26/12/23, 8:51 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9779222840
Baljit Singh
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 4:56 pm
26/12/23, 9:05 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9876265161
Gurmeet Singh
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 5:13 pm
26/12/23, 8:50 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8727002734
Gurmeet Singh
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 5:13 pm
26/12/23, 8:49 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7559630202
Gurmeet Singh
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 5:14 pm
26/12/23, 8:51 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8146455693
Rani Devi
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 5:17 pm
26/12/23, 8:43 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7006430321
Parwati Devi
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 5:19 pm
26/12/23, 8:54 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9915274270
Amarjeet Singh
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 5:20 pm
26/12/23, 8:54 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8219012067
Anu Bala
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 5:21 pm
26/12/23, 8:48 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6284967052
Lakhwinder Kaur
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 5:21 pm
26/12/23, 8:43 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8847471027
Kala Singh
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 5:22 pm
26/12/23, 8:47 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9972232903
Savita Singh
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 5:23 pm
26/12/23, 8:43 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9876491808
Sher Singh
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 5:24 pm
26/12/23, 8:49 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8872779650
Yaqube Masih
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 5:27 pm
26/12/23, 8:42 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9743090230
Dayawanti
Patient Loss
Approved
Punjab
Approved
Approved
22/12/23, 5:28 pm
26/12/23, 8:49 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9965066014
Gopalsamy.N
Patient Loss
Approved
Tamil Nadu
Approved
Approved
22/12/23, 6:39 pm
30/12/23, 4:08 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9443522518
Raju.M.B
Patient Loss
Approved
Tamil Nadu
Approved
Approved
22/12/23, 6:43 pm
30/12/23, 4:03 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9443340216
Murugan.P
Patient Loss
Approved
Tamil Nadu
Approved
Approved
22/12/23, 6:52 pm
30/12/23, 4:04 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9983089616
Rohitashw Ranghawa
Patient Loss
Approved
Rajasthan
Approved
Approved
23/12/23, 9:05 am
26/12/23, 8:54 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6304582855
Chandra Shekhar Reddy
Patient Loss
Approved
Andhra Pradesh
Approved
Approved
26/12/23, 4:37 am
30/12/23, 4:06 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9671005850
Shanti Devi
Patient Loss
Approved
Haryana
Approved
Approved
26/12/23, 6:33 am
26/12/23, 8:51 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9991054354
Jagmal Singh
Patient Loss
Approved
Haryana
Approved
Approved
26/12/23, 6:34 am
26/12/23, 8:44 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
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