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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
9779749146
TARA DEVI THAPA
Patient Loss
Approved
West Bengal
Approved
Approved
27/11/23, 9:23 am
28/11/23, 8:57 am
He
ACM has to fill TLC,DLC Report
He
7602884871
Lata Rai
Patient Loss
Approved
West Bengal
Approved
Approved
27/11/23, 9:24 am
28/11/23, 6:48 am
He
ACM has to fill TLC,DLC Report
He
9862708777
Bhavini Leima
Patient Loss
Approved
Manipur
Approved
Approved
27/11/23, 9:24 am
28/11/23, 6:50 am
He
ACM has to fill TLC,DLC Report
He
8436511575
Suman Tamang
Patient Loss
Approved
West Bengal
Approved
Approved
27/11/23, 9:24 am
28/11/23, 7:20 am
He
ACM has to fill TLC,DLC Report
He
9486031294
ChandraKumar
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/11/23, 9:25 am
28/11/23, 9:04 am
He
ACM has to fill TLC,DLC Report
He
9366229526
WL Kanhlung
Patient Loss
Approved
Manipur
Approved
Approved
27/11/23, 9:26 am
28/11/23, 11:59 am
He
ACM has to fill TLC,DLC Report
He
9920864694
R.Prasad
Patient Loss
Approved
Maharashtra
Approved
Approved
27/11/23, 9:26 am
28/11/23, 7:18 am
He
ACM has to fill TLC,DLC Report
He
7736641716
Anil Kumar pc
Patient Loss
Approved
Kerala
Approved
Approved
27/11/23, 9:27 am
28/11/23, 6:41 am
He
ACM has to fill TLC,DLC Report
He
9973707901
Asheshwar Sing
Patient Loss
Approved
Jharkhand
Approved
Approved
27/11/23, 9:27 am
28/11/23, 11:32 am
He
ACM has to fill TLC,DLC Report
He
9905588750
Gita Devi
Patient Loss
Approved
Bihar
Approved
Approved
27/11/23, 9:27 am
28/11/23, 12:00 pm
He
ACM has to fill TLC,DLC Report
He
9954864996
Siyonmit Fudong
Patient Loss
Approved
Assam
Approved
Approved
27/11/23, 9:28 am
28/11/23, 7:16 am
He
ACM has to fill TLC,DLC Report
He
9645254476
Fathima risha
Patient Loss
Approved
Kerala
Approved
Approved
27/11/23, 9:28 am
28/11/23, 11:59 am
He
ACM has to fill TLC,DLC Report
He
9388848322
Ali Khezer Khalil
Patient Loss
Approved
Kerala
Approved
Approved
27/11/23, 9:28 am
28/11/23, 7:14 am
He
ACM has to fill TLC,DLC Report
He
8074988085
Manemma
Patient Loss
Approved
Telangana
Approved
Approved
27/11/23, 9:29 am
28/11/23, 11:48 am
He
ACM has to fill TLC,DLC Report
He
9372647204
Govind gaykar
Patient Loss
Approved
Maharashtra
Approved
Approved
27/11/23, 9:29 am
28/11/23, 7:21 am
He
ACM has to fill TLC,DLC Report
He
8248627221
Ravi. V.M.
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/11/23, 9:30 am
28/11/23, 7:24 am
He
ACM has to fill TLC,DLC Report
He
7358527122
Manoharan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/11/23, 9:30 am
28/11/23, 11:23 am
He
ACM has to fill TLC,DLC Report
He
9826662425
Amit sharma
Patient Loss
Approved
Madhya Pradesh
Approved
Approved
27/11/23, 9:31 am
28/11/23, 7:16 am
He
ACM has to fill TLC,DLC Report
He
8167504466
Mahabir prasad Agarwala
Patient Loss
Approved
West Bengal
Approved
Approved
27/11/23, 9:32 am
28/11/23, 11:32 am
He
ACM has to fill TLC,DLC Report
He
9955887730
Jagdish Rai
Patient Loss
Approved
Bihar
Approved
Approved
27/11/23, 9:33 am
28/11/23, 12:01 pm
He
ACM has to fill TLC,DLC Report
He
7479099646
Saraswati Darjee
Patient Loss
Approved
Sikkim
Approved
Approved
27/11/23, 9:34 am
28/11/23, 11:54 am
He
ACM has to fill TLC,DLC Report
He
6002581820
Jyotish Chandra bora
Patient Loss
Approved
Assam
Approved
Approved
27/11/23, 9:34 am
28/11/23, 7:06 am
He
ACM has to fill TLC,DLC Report
He
8876158049
Syed Anowar Hussain
Patient Loss
Approved
Assam
Approved
Approved
27/11/23, 9:34 am
28/11/23, 6:57 am
He
ACM has to fill TLC,DLC Report
He
9384692203
Mohammed Riyan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/11/23, 9:35 am
28/11/23, 9:00 am
He
ACM has to fill TLC,DLC Report
He
7386862929
Chidvilas Raghava
Patient Loss
Approved
Telangana
Approved
Approved
27/11/23, 9:35 am
28/11/23, 11:51 am
He
ACM has to fill TLC,DLC Report
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