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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
9865388444
Mariyappan.P.C
Patient Loss
Approved
Tamil Nadu
Approved
Approved
30/12/23, 11:08 am
2/1/24, 5:59 am
He
ACM has to fill TLC,DLC Report
He
8098453577
Amalorpavanathan.K
Patient Loss
Approved
Tamil Nadu
Approved
Approved
30/12/23, 11:09 am
2/1/24, 5:59 am
He
ACM has to fill TLC,DLC Report
He
9843014087
Sundaraesan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
30/12/23, 11:10 am
2/1/24, 5:58 am
He
ACM has to fill TLC,DLC Report
He
6290416457
Sujit Chakraborty
Patient Loss
Approved
West Bengal
Approved
Approved
30/12/23, 12:08 pm
2/1/24, 9:58 am
He
ACM has to fill TLC,DLC Report
He
8921786583
Monoj Kumar
Patient Loss
Approved
Bihar
Approved
Approved
30/12/23, 3:48 pm
2/1/24, 10:00 am
He
ACM has to fill TLC,DLC Report
He
6267453564
Meera Devi
Patient Loss
Approved
Bihar
Approved
Approved
30/12/23, 3:48 pm
2/1/24, 10:01 am
He
ACM has to fill TLC,DLC Report
He
9771685448
Mohd. Ali
Patient Loss
Approved
Bihar
Approved
Approved
30/12/23, 3:49 pm
2/1/24, 9:58 am
He
ACM has to fill TLC,DLC Report
He
7255080589
Kulia Devi
Patient Loss
Approved
Bihar
Approved
Approved
30/12/23, 3:49 pm
2/1/24, 9:56 am
He
ACM has to fill TLC,DLC Report
He
6006163761
Rahas Behari Nayak
Patient Loss
Approved
Odisha
Approved
Approved
30/12/23, 3:49 pm
2/1/24, 10:01 am
He
ACM has to fill TLC,DLC Report
He
8986194982
Ajit Kumar Sinha
Patient Loss
Approved
Bihar
Approved
Approved
30/12/23, 3:50 pm
2/1/24, 9:59 am
He
ACM has to fill TLC,DLC Report
He
9933733277
SK Siddique Zaman
Patient Loss
Approved
West Bengal
Approved
Approved
30/12/23, 3:51 pm
2/1/24, 10:01 am
He
ACM has to fill TLC,DLC Report
He
8674827795
Bijli Devi
Patient Loss
Approved
Bihar
Approved
Approved
30/12/23, 3:51 pm
2/1/24, 9:58 am
He
ACM has to fill TLC,DLC Report
He
9801132909
Baij Nath Yadav
Patient Loss
Approved
Bihar
Approved
Approved
30/12/23, 3:51 pm
2/1/24, 9:57 am
He
ACM has to fill TLC,DLC Report
He
7481861796
Purnya Deo Majhi
Patient Loss
Approved
Bihar
Approved
Approved
30/12/23, 3:52 pm
2/1/24, 9:57 am
He
ACM has to fill TLC,DLC Report
He
9382850717
Abdul Latif
Patient Loss
Approved
West Bengal
Approved
Approved
30/12/23, 3:52 pm
2/1/24, 9:57 am
He
ACM has to fill TLC,DLC Report
He
9771280006
Amna Khatoon
Patient Loss
Approved
Bihar
Approved
Approved
30/12/23, 3:53 pm
2/1/24, 10:01 am
He
ACM has to fill TLC,DLC Report
He
9304335044
Lalti Devi
Patient Loss
Approved
Bihar
Approved
Approved
30/12/23, 3:53 pm
2/1/24, 9:56 am
He
ACM has to fill TLC,DLC Report
He
7060020293
Sheela Devi
Patient Loss
Approved
Bihar
Approved
Approved
30/12/23, 3:53 pm
2/1/24, 9:58 am
He
ACM has to fill TLC,DLC Report
He
8840403180
Munni Devi
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
31/12/23, 2:20 pm
1/1/24, 10:38 am
He
ACM has to fill TLC,DLC Report
He
9502538512
Anshu Kumar
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
1/1/24, 3:12 am
2/1/24, 5:57 am
He
ACM has to fill TLC,DLC Report
He
9771487419
Nagender Singh
Patient Loss
Approved
Bihar
Approved
Approved
1/1/24, 1:21 pm
2/1/24, 9:59 am
He
ACM has to fill TLC,DLC Report
He
9092618460
Prabhakaran
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:36 am
2/1/24, 6:01 am
He
ACM has to fill TLC,DLC Report
He
9952094914
Uma Devi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:36 am
2/1/24, 6:00 am
He
ACM has to fill TLC,DLC Report
He
7358204572
Padma
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:36 am
2/1/24, 5:57 am
He
ACM has to fill TLC,DLC Report
He
9445400406
Vignehwar
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:37 am
2/1/24, 7:52 am
He
ACM has to fill TLC,DLC Report
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