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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
7005246752
Hungyo Naoreimi
Patient Loss
Approved
Manipur
Approved
Approved
30/1/24, 1:50 pm
31/1/24, 5:14 am
He
ACM has to fill TLC,DLC Report
He
9422815628
Alok Dutta
Patient Loss
Approved
Maharashtra
Approved
Approved
31/1/24, 10:21 am
1/2/24, 5:23 am
He
ACM has to fill TLC,DLC Report
He
7878499034
Shree Kumar Sharma
Patient Loss
Approved
Rajasthan
Approved
Approved
31/1/24, 11:22 am
1/2/24, 3:54 am
He
ACM has to fill TLC,DLC Report
He
9314329555
Anita Bhandari
Patient Loss
Approved
Rajasthan
Approved
Approved
31/1/24, 12:23 pm
20/2/24, 9:18 am
He
29/1/24, 6:30 pm
ACM has to fill TLC,DLC Report
He
9378112772
Yumnam Khomdon Singh
Patient Loss
Approved
Manipur
Approved
Approved
1/2/24, 6:28 am
1/2/24, 10:04 am
He
ACM has to fill TLC,DLC Report
He
9998343048
Shailesh Shah
Patient Loss
Approved
Gujarat
Approved
Approved
1/2/24, 7:24 am
1/2/24, 10:22 am
He
ACM has to fill TLC,DLC Report
He
9059319216
Sony J
Patient Loss
Approved
Telangana
Approved
Approved
1/2/24, 8:49 am
1/2/24, 10:22 am
He
ACM has to fill TLC,DLC Report
He
9704326626
Varalaxmi S
Patient Loss
Approved
Andhra Pradesh
Approved
Approved
1/2/24, 10:45 am
5/2/24, 5:11 am
He
ACM has to fill TLC,DLC Report
He
9652232936
Ratna
Patient Loss
Approved
Telangana
Approved
Approved
1/2/24, 11:47 am
5/2/24, 5:12 am
He
ACM has to fill TLC,DLC Report
He
7358359144
Vijayalakshmi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/2/24, 5:49 am
5/2/24, 5:12 am
He
ACM has to fill TLC,DLC Report
He
9422114543
Savita Verma
Patient Loss
Approved
Maharashtra
Approved
Approved
2/2/24, 11:29 am
13/3/24, 9:16 am
He
ACM has to fill TLC,DLC Report
He
9875530378
Anupam Dasgupta
Patient Loss
Approved
West Bengal
Approved
Approved
3/2/24, 7:16 am
7/2/24, 11:10 am
He
ACM has to fill TLC,DLC Report
He
9612479675
Jona Wahlang
Patient Loss
Approved
Megalaya
Approved
Approved
6/2/24, 2:26 am
7/2/24, 11:11 am
He
ACM has to fill TLC,DLC Report
He
6268805286
Himeshwari Yadav
Patient Loss
Approved
Chhattisgarh
Approved
Approved
6/2/24, 5:45 am
9/2/24, 11:51 am
He
ACM has to fill TLC,DLC Report
He
9997835835
Mohit Bisht
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
6/2/24, 7:31 am
7/2/24, 6:56 am
He
ACM has to fill TLC,DLC Report
He
9327139484
Lila ben chavda
Patient Loss
Approved
Gujarat
Approved
Approved
7/2/24, 3:19 am
10/2/24, 4:44 am
He
ACM has to fill TLC,DLC Report
He
9711555534
Atul Dham
Patient Loss
Approved
Uttarakhand
Approved
Approved
7/2/24, 3:36 am
20/2/24, 6:08 am
He
ACM has to fill TLC,DLC Report
He
7600930682
Nathuram Soni
Patient Loss
Approved
Gujarat
Approved
Approved
7/2/24, 6:08 am
9/2/24, 11:18 am
He
ACM has to fill TLC,DLC Report
He
8141405003
Mayra Patel
Patient Loss
Approved
Gujarat
Approved
Approved
7/2/24, 6:09 am
8/2/24, 4:56 am
He
ACM has to fill TLC,DLC Report
He
9978414074
Ibrahim Umarji
Patient Loss
Approved
Gujarat
Approved
Approved
7/2/24, 6:10 am
9/2/24, 9:05 am
He
ACM has to fill TLC,DLC Report
He
9694857558
Kanhaiya Lal Swami
Patient Loss
Approved
Rajasthan
Approved
Approved
7/2/24, 11:18 am
8/2/24, 5:01 am
He
ACM has to fill TLC,DLC Report
He
9810917043
Manojit Paul.
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
8/2/24, 12:21 pm
9/2/24, 4:06 am
He
ACM has to fill TLC,DLC Report
He
9632913111
Tejaswini
Patient Loss
Approved
Karnataka
Approved
Approved
9/2/24, 6:12 am
13/2/24, 5:05 am
He
ACM has to fill TLC,DLC Report
He
9652478315
Imrana Fathima
Patient Loss
Approved
Telangana
Approved
Approved
9/2/24, 6:45 am
13/2/24, 4:36 am
He
ACM has to fill TLC,DLC Report
He
9000392376
Anjalaiah
Patient Loss
Approved
Telangana
Approved
Approved
9/2/24, 6:46 am
13/2/24, 4:37 am
He
ACM has to fill TLC,DLC Report
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