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Combined RCM Approval Form
-
#
Patient ID
Patient Name
Approval for
ACM
State
Load1.gif
Created Date
Updated Date
Infection Date
Days
Action
He
8838756476
Cinnakaruppan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/11/23, 9:36 am
28/11/23, 6:42 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9774442232
Romesh salam
Patient Loss
Approved
Manipur
Approved
Approved
27/11/23, 9:36 am
28/11/23, 12:01 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9647870748
Nuka Maya Sharma
Patient Loss
Approved
Sikkim
Approved
Approved
27/11/23, 9:38 am
28/11/23, 7:12 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9879794306
Aryan Katariya
Patient Loss
Approved
Gujarat
Approved
Approved
27/11/23, 9:41 am
28/11/23, 12:00 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8317060253
Gayatri Devi
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/11/23, 9:44 am
28/11/23, 11:27 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9700563877
Matabi Devi
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/11/23, 9:45 am
28/11/23, 11:35 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9443369874
Michealwillam.A
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/11/23, 9:46 am
28/11/23, 7:04 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7337421450
Preethi
Patient Loss
Approved
Telangana
Approved
Approved
27/11/23, 9:47 am
28/11/23, 7:04 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9395577714
Mankala Swarupa
Patient Loss
Approved
Telangana
Approved
Approved
27/11/23, 9:50 am
28/11/23, 11:44 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9078034898
Monu Sharma
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/11/23, 9:50 am
28/11/23, 11:33 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9443016315
Balasubramaniam
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/11/23, 9:51 am
28/11/23, 11:24 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8638830734
Tarun Ch Boro
Patient Loss
Approved
Assam
Approved
Approved
27/11/23, 9:51 am
28/11/23, 11:58 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8798650936
Narayan Kharel
Patient Loss
Approved
Manipur
Approved
Approved
27/11/23, 9:52 am
28/11/23, 6:55 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9262552190
Shri Ram Chaudhary
Patient Loss
Approved
Bihar
Approved
Approved
27/11/23, 9:53 am
28/11/23, 9:03 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8789001263
Jang Bahadur
Patient Loss
Approved
Bihar
Approved
Approved
27/11/23, 9:58 am
28/11/23, 11:41 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9704061010
Rama Devi
Patient Loss
Approved
Andhra Pradesh
Approved
Approved
27/11/23, 9:59 am
28/11/23, 6:56 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9127170072
Monoranjan kowar
Patient Loss
Approved
Assam
Approved
Approved
27/11/23, 9:59 am
28/11/23, 7:17 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8919005395
Anand Mukkera
Patient Loss
Approved
Telangana
Approved
Approved
27/11/23, 10:00 am
28/11/23, 11:30 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8830755164
Sunil Ramrao Mawal
Patient Loss
Approved
Maharashtra
Approved
Approved
27/11/23, 10:01 am
28/11/23, 9:08 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9021747329
Shila mane
Patient Loss
Approved
Maharashtra
Approved
Approved
27/11/23, 10:02 am
28/11/23, 6:53 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7699122908
Durga Rani Bachar
Patient Loss
Approved
West Bengal
Approved
Approved
27/11/23, 10:03 am
28/11/23, 11:51 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7897896728
Rajkali Yadav
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/11/23, 10:11 am
28/11/23, 6:56 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8795038920
Sandhya Pandey
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/11/23, 10:12 am
28/11/23, 7:19 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9492466259
Koteshwar Rao kumba
Patient Loss
Approved
Andhra Pradesh
Approved
Approved
27/11/23, 10:13 am
28/11/23, 6:51 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9672745270
Dhanna Ram Panch
Patient Loss
Approved
Rajasthan
Approved
Approved
27/11/23, 10:15 am
28/11/23, 11:55 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
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