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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
9647335158
Mira Rai
Patient Loss
Approved
West Bengal
Approved
Approved
5/1/24, 11:27 am
5/1/24, 12:37 pm
He
ACM has to fill TLC,DLC Report
He
9733282388
Dinesh Sarkar
Patient Loss
Approved
West Bengal
Approved
Approved
5/1/24, 11:27 am
5/1/24, 12:38 pm
He
ACM has to fill TLC,DLC Report
He
9749091321
Romni Rai
Patient Loss
Approved
West Bengal
Approved
Approved
5/1/24, 11:28 am
5/1/24, 12:38 pm
He
ACM has to fill TLC,DLC Report
He
9933103414
Gouri Saha
Patient Loss
Approved
West Bengal
Approved
Approved
5/1/24, 11:29 am
5/1/24, 12:36 pm
He
ACM has to fill TLC,DLC Report
He
9707724928
Ratneswar Das
Patient Loss
Approved
Assam
Approved
Approved
5/1/24, 11:37 am
5/1/24, 12:37 pm
He
ACM has to fill TLC,DLC Report
He
9688433212
Ramaraj.K
Patient Loss
Approved
Tamil Nadu
Approved
Approved
5/1/24, 1:02 pm
6/1/24, 3:46 am
He
ACM has to fill TLC,DLC Report
He
9328742386
Taslimbanu Mansum
Patient Loss
Approved
Gujarat
Approved
Approved
6/1/24, 4:29 pm
8/1/24, 5:59 am
He
ACM has to fill TLC,DLC Report
He
8790183817
Saramma k
Patient Loss
Approved
Andhra Pradesh
Approved
Approved
8/1/24, 6:13 am
8/1/24, 6:54 am
He
ACM has to fill TLC,DLC Report
He
9403640466
Sachin Salunkhe
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:11 am
8/1/24, 9:38 am
He
ACM has to fill TLC,DLC Report
He
9022883044
Dashrath Mali
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:12 am
8/1/24, 9:12 am
He
ACM has to fill TLC,DLC Report
He
9702237676
Hindurao Bhillare
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:12 am
8/1/24, 9:15 am
He
ACM has to fill TLC,DLC Report
He
7218609852
Chandra Bhushan Pande
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:13 am
8/1/24, 8:33 am
He
ACM has to fill TLC,DLC Report
He
7780226264
Soni jason
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:13 am
8/1/24, 9:36 am
He
ACM has to fill TLC,DLC Report
He
9545491862
Laxmanrao Bhagwat
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:14 am
8/1/24, 9:38 am
He
ACM has to fill TLC,DLC Report
He
9823846390
Ankush More
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:14 am
8/1/24, 9:20 am
He
ACM has to fill TLC,DLC Report
He
9607705959
K R.Prabhakaran
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:14 am
8/1/24, 9:14 am
He
ACM has to fill TLC,DLC Report
He
7972333942
Zacharia kerketa
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:15 am
8/1/24, 9:21 am
He
ACM has to fill TLC,DLC Report
He
9665864858
Dilip Hinjmire
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:16 am
8/1/24, 9:15 am
He
ACM has to fill TLC,DLC Report
He
7707995057
Shankar Jadhav
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:16 am
8/1/24, 9:37 am
He
ACM has to fill TLC,DLC Report
He
9149875947
J Vasu
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:17 am
8/1/24, 9:35 am
He
ACM has to fill TLC,DLC Report
He
7875821405
Chagan Jadhav
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:17 am
8/1/24, 9:14 am
He
ACM has to fill TLC,DLC Report
He
8459838202
Mohan Ghavat
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:17 am
8/1/24, 9:18 am
He
ACM has to fill TLC,DLC Report
He
7028510367
Sangita Sapkal
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:18 am
8/1/24, 9:12 am
He
ACM has to fill TLC,DLC Report
He
9403120786
Marutibhau shinde
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:18 am
8/1/24, 8:34 am
He
ACM has to fill TLC,DLC Report
He
7387734917
Sunita vasant narale
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:19 am
8/1/24, 9:22 am
He
ACM has to fill TLC,DLC Report
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