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Combined RCM Approval Form
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#
Patient ID
Patient Name
Approval for
ACM
State
Created Date
Updated Date
Infection Date
Days
Action
He
9896522365
Harmit Singh
Patient Loss
Approved
Haryana
Approved
Approved
26/12/23, 6:35 am
26/12/23, 8:49 am
He
ACM has to fill TLC,DLC Report
He
9417959374
Jaspal singh
Patient Loss
Approved
Punjab
Approved
Approved
26/12/23, 6:35 am
26/12/23, 8:54 am
He
ACM has to fill TLC,DLC Report
He
9044581691
Ali Muddin
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
26/12/23, 7:44 am
27/12/23, 3:59 am
He
ACM has to fill TLC,DLC Report
He
8127744620
Phoolmati Devi
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
26/12/23, 7:47 am
27/12/23, 4:02 am
He
ACM has to fill TLC,DLC Report
He
9897714029
Shakuntala devi
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
26/12/23, 7:48 am
27/12/23, 4:04 am
He
ACM has to fill TLC,DLC Report
He
7698123725
Ram Raj Limbani
Patient Loss
Approved
Gujarat
Approved
Approved
26/12/23, 7:52 am
4/1/24, 3:58 am
He
ACM has to fill TLC,DLC Report
He
7628877839
Chalchungi
Patient Loss
Approved
West Bengal
Approved
Approved
26/12/23, 8:54 am
28/12/23, 10:53 am
He
ACM has to fill TLC,DLC Report
He
7602486787
Birendra Nath
Patient Loss
Approved
West Bengal
Approved
Approved
26/12/23, 8:54 am
28/12/23, 9:04 am
He
ACM has to fill TLC,DLC Report
He
9725249808
Satish Chandra Bhowmik
Patient Loss
Approved
West Bengal
Approved
Approved
26/12/23, 8:54 am
28/12/23, 10:53 am
He
ACM has to fill TLC,DLC Report
He
6203420321
Kamli Devi
Patient Loss
Approved
Jharkhand
Approved
Approved
26/12/23, 8:55 am
28/12/23, 10:53 am
He
ACM has to fill TLC,DLC Report
He
9475754335
Sarbani Chatterjee
Patient Loss
Approved
West Bengal
Approved
Approved
26/12/23, 8:56 am
28/12/23, 10:55 am
He
ACM has to fill TLC,DLC Report
He
7001671136
Samserunnisa Bibi
Patient Loss
Approved
West Bengal
Approved
Approved
26/12/23, 8:58 am
13/2/24, 12:00 pm
He
ACM has to fill TLC,DLC Report
He
8927125022
Bijali Saha
Patient Loss
Approved
West Bengal
Approved
Approved
26/12/23, 8:58 am
28/12/23, 10:54 am
He
ACM has to fill TLC,DLC Report
He
9933374232
Dilip Biswas
Patient Loss
Approved
West Bengal
Approved
Approved
26/12/23, 8:59 am
28/12/23, 10:53 am
He
ACM has to fill TLC,DLC Report
He
9973504415
Bundlal Pandit
Patient Loss
Approved
Jharkhand
Approved
Approved
26/12/23, 9:00 am
28/12/23, 9:14 am
He
ACM has to fill TLC,DLC Report
He
9749287963
Mahadev Ghosh
Patient Loss
Approved
West Bengal
Approved
Approved
26/12/23, 9:01 am
28/12/23, 10:54 am
He
ACM has to fill TLC,DLC Report
He
7005436537
Bipul Purkayastha
Patient Loss
Approved
West Bengal
Approved
Approved
26/12/23, 9:01 am
28/12/23, 9:05 am
He
ACM has to fill TLC,DLC Report
He
9933612505
Santosh Kumar Das
Patient Loss
Approved
West Bengal
Approved
Approved
26/12/23, 9:02 am
28/12/23, 9:14 am
He
ACM has to fill TLC,DLC Report
He
9547458848
Kanai Dalai
Patient Loss
Approved
West Bengal
Approved
Approved
26/12/23, 9:03 am
28/12/23, 10:52 am
He
ACM has to fill TLC,DLC Report
He
8370805323
Manju Rani Maity
Patient Loss
Approved
West Bengal
Approved
Approved
26/12/23, 9:04 am
28/12/23, 10:52 am
He
ACM has to fill TLC,DLC Report
He
6005045445
Kanan Mondal
Patient Loss
Approved
West Bengal
Approved
Approved
26/12/23, 9:04 am
28/12/23, 10:55 am
He
ACM has to fill TLC,DLC Report
He
9058919092
Jeevan Singh Fartiyal
Patient Loss
Approved
Uttarakhand
Approved
Approved
26/12/23, 1:30 pm
27/12/23, 4:04 am
He
ACM has to fill TLC,DLC Report
He
7991542891
Sher Bahadur Khan
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
26/12/23, 1:54 pm
28/12/23, 5:19 am
He
ACM has to fill TLC,DLC Report
He
7526034399
Anand Singh
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
26/12/23, 1:55 pm
28/12/23, 5:24 am
He
ACM has to fill TLC,DLC Report
He
9848097328
Roop Kala Thapa
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
26/12/23, 1:56 pm
28/12/23, 5:21 am
He
ACM has to fill TLC,DLC Report
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