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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
9050195450
Roshan Lal
Patient Loss
Approved
Haryana
Approved
Approved
28/12/23, 5:16 am
28/12/23, 6:38 am
He
ACM has to fill TLC,DLC Report
He
9991896724
Kavita
Patient Loss
Approved
Haryana
Approved
Approved
28/12/23, 5:18 am
28/12/23, 6:46 am
He
ACM has to fill TLC,DLC Report
He
8988612059
Kanta Devi
Patient Loss
Approved
Himachal Pradesh
Approved
Approved
28/12/23, 5:18 am
28/12/23, 6:45 am
He
ACM has to fill TLC,DLC Report
He
9467540235
Seraphina SR
Patient Loss
Approved
New Delhi
Approved
Approved
28/12/23, 7:48 am
28/12/23, 10:54 am
He
ACM has to fill TLC,DLC Report
He
7518909549
Om Prakash Singh
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
28/12/23, 7:54 am
28/12/23, 10:54 am
He
ACM has to fill TLC,DLC Report
He
9829455693
Usha Verma
Patient Loss
Approved
Rajasthan
Approved
Approved
28/12/23, 8:52 am
28/12/23, 10:19 am
He
ACM has to fill TLC,DLC Report
He
9994270915
Moorthy
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/12/23, 8:53 am
30/12/23, 4:08 am
He
ACM has to fill TLC,DLC Report
He
9952208758
Vijayalakshmi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/12/23, 8:53 am
28/12/23, 10:46 am
He
ACM has to fill TLC,DLC Report
He
9087006758
Esabella
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/12/23, 8:54 am
30/12/23, 3:56 am
He
ACM has to fill TLC,DLC Report
He
9486486417
Sangeetha
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/12/23, 9:23 am
30/12/23, 4:00 am
He
ACM has to fill TLC,DLC Report
He
8012014071
Pandi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/12/23, 9:23 am
28/12/23, 10:51 am
He
ACM has to fill TLC,DLC Report
He
9442959708
Rajendran
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/12/23, 9:24 am
28/12/23, 10:49 am
He
ACM has to fill TLC,DLC Report
He
7598166521
Dharani
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/12/23, 9:25 am
30/12/23, 4:02 am
He
ACM has to fill TLC,DLC Report
He
9629670259
Abinaya
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/12/23, 9:25 am
30/12/23, 4:05 am
He
ACM has to fill TLC,DLC Report
He
9495690450
Nithish
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/12/23, 9:26 am
30/12/23, 4:05 am
He
ACM has to fill TLC,DLC Report
He
9095151764
PRAPHU
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/12/23, 9:27 am
30/12/23, 4:00 am
He
ACM has to fill TLC,DLC Report
He
9787545034
Arumugam.s
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/12/23, 9:28 am
30/12/23, 4:00 am
He
ACM has to fill TLC,DLC Report
He
9585206662
Kaneeshwaran
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/12/23, 9:28 am
30/12/23, 3:55 am
He
ACM has to fill TLC,DLC Report
He
8489383667
Ponnusamy
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/12/23, 9:32 am
30/12/23, 4:07 am
He
ACM has to fill TLC,DLC Report
He
8975925654
Ghanshyam Gandhi
Patient Loss
Approved
Maharashtra
Approved
Approved
28/12/23, 10:25 am
4/1/24, 4:00 am
He
ACM has to fill TLC,DLC Report
He
9903282060
Hara Shiv Paul
Patient Loss
Approved
West Bengal
Approved
Approved
28/12/23, 11:01 am
28/12/23, 11:28 am
He
ACM has to fill TLC,DLC Report
He
8013702665
Bablu Roy
Patient Loss
Approved
West Bengal
Approved
Approved
28/12/23, 11:02 am
28/12/23, 11:27 am
He
ACM has to fill TLC,DLC Report
He
9051432773
Sadhan Kumar Bhattacharya
Patient Loss
Approved
West Bengal
Approved
Approved
28/12/23, 11:02 am
28/12/23, 11:55 am
He
ACM has to fill TLC,DLC Report
He
9864806205
Dipak Singha
Patient Loss
Approved
Assam
Approved
Approved
28/12/23, 3:16 pm
2/1/24, 9:56 am
He
ACM has to fill TLC,DLC Report
He
9176657583
Devi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
29/12/23, 4:38 am
30/12/23, 4:00 am
He
ACM has to fill TLC,DLC Report
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