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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
9825234107
Subhada purandare
Patient Loss
Approved
Gujarat
Approved
Approved
9/1/24, 5:52 am
10/1/24, 3:43 am
He
ACM has to fill TLC,DLC Report
He
9994009513
Nagarajan.C
Patient Loss
Approved
Tamil Nadu
Approved
Approved
9/1/24, 7:17 am
15/1/24, 4:04 am
He
1/1/24, 6:30 pm
ACM has to fill TLC,DLC Report
He
9597080535
Roobakumar
Patient Loss
Approved
Tamil Nadu
Approved
Approved
10/1/24, 8:38 am
11/1/24, 3:44 am
He
ACM has to fill TLC,DLC Report
He
9426284784
Dipesh Shah
Patient Loss
Approved
Gujarat
Approved
Approved
10/1/24, 12:40 pm
11/1/24, 7:41 am
He
ACM has to fill TLC,DLC Report
He
9531740411
Sankari Biswas
Patient Loss
Approved
West Bengal
Approved
Approved
10/1/24, 2:31 pm
13/2/24, 5:49 am
He
8/1/24, 6:30 pm
ACM has to fill TLC,DLC Report
He
9960137244
Farisa Nawal
Patient Loss
Approved
Maharashtra
Approved
Approved
11/1/24, 3:02 am
1/2/24, 10:13 am
He
ACM has to fill TLC,DLC Report
He
8106148473
Soma Mondal
Patient Loss
Approved
West Bengal
Approved
Approved
16/1/24, 3:23 pm
1/2/24, 10:13 am
He
ACM has to fill TLC,DLC Report
He
9849764621
Venu Gopal Rao M
Patient Loss
Approved
Telangana
Approved
Approved
17/1/24, 9:47 am
22/1/24, 5:50 am
He
ACM has to fill TLC,DLC Report
He
9422815628
Alok Dutta
Patient Loss
Approved
Maharashtra
Approved
Approved
17/1/24, 2:10 pm
19/1/24, 4:30 am
He
ACM has to fill TLC,DLC Report
He
8888858562
Sonabai kamble
Patient Loss
Approved
Maharashtra
Approved
Approved
18/1/24, 3:02 am
19/1/24, 4:36 am
He
ACM has to fill TLC,DLC Report
He
7887280871
Shyam Bahadur Singh
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
18/1/24, 3:18 am
19/1/24, 4:45 am
He
ACM has to fill TLC,DLC Report
He
8760749112
Murugeshan
Patient Loss
Approved
Karnataka
Approved
Approved
18/1/24, 8:42 am
22/1/24, 5:52 am
He
ACM has to fill TLC,DLC Report
He
9352241119
Shashi Singh
Patient Loss
Approved
Rajasthan
Approved
Approved
18/1/24, 4:38 pm
20/2/24, 8:45 am
He
ACM has to fill TLC,DLC Report
He
8610512229
Sooriya prakash
Patient Loss
Approved
Tamil Nadu
Approved
Approved
20/1/24, 3:57 am
22/1/24, 5:56 am
He
ACM has to fill TLC,DLC Report
He
8876512480
Dilip Basar
Patient Loss
Approved
Assam
Approved
Approved
22/1/24, 6:52 am
23/1/24, 3:44 am
He
ACM has to fill TLC,DLC Report
He
9778160590
Jameela
Patient Loss
Approved
Kerala
Approved
Approved
23/1/24, 5:07 am
25/1/24, 5:00 am
He
ACM has to fill TLC,DLC Report
He
9007702210
Sukumari Paul
Patient Loss
Approved
West Bengal
Approved
Approved
23/1/24, 7:35 am
1/2/24, 10:04 am
He
21/1/24, 6:30 pm
ACM has to fill TLC,DLC Report
He
9711858486
Harish Kumar
Patient Loss
Approved
Haryana
Approved
Approved
26/1/24, 12:10 pm
20/2/24, 8:46 am
He
25/1/24, 6:30 pm
ACM has to fill TLC,DLC Report
He
9408160196
Jayesh Bhai Amdroja
Patient Loss
Approved
Gujarat
Approved
Approved
27/1/24, 3:32 pm
30/1/24, 3:31 am
He
ACM has to fill TLC,DLC Report
He
9913961611
Daxaben Sharma
Patient Loss
Approved
Gujarat
Approved
Approved
27/1/24, 3:36 pm
30/1/24, 3:32 am
He
ACM has to fill TLC,DLC Report
He
9763408554
Prem Gattani
Patient Loss
Approved
Maharashtra
Approved
Approved
28/1/24, 1:41 pm
30/1/24, 3:32 am
He
ACM has to fill TLC,DLC Report
He
7891763042
Janki Bai
Patient Loss
Approved
Rajasthan
Approved
Approved
29/1/24, 2:24 pm
30/1/24, 3:32 am
He
ACM has to fill TLC,DLC Report
He
8827892078
Makhan yadav
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
30/1/24, 3:06 am
31/1/24, 5:12 am
He
ACM has to fill TLC,DLC Report
He
8787801323
Munal
Patient Loss
Approved
Manipur
Approved
Approved
30/1/24, 1:38 pm
31/1/24, 5:13 am
He
ACM has to fill TLC,DLC Report
He
9774708366
Ibemnunshi
Patient Loss
Approved
Imphal
Approved
Approved
30/1/24, 1:49 pm
31/1/24, 5:14 am
He
ACM has to fill TLC,DLC Report
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