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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
9567358163
Ullasan
Patient Loss
Approved
Kerala
Approved
Approved
27/11/23, 11:11 am
28/11/23, 6:50 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9387441293
Dineshan
Patient Loss
Approved
Kerala
Approved
Approved
27/11/23, 11:12 am
28/11/23, 12:01 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9403096922
Ramanamurthi
Patient Loss
Approved
Telangana
Approved
Approved
27/11/23, 11:16 am
28/11/23, 11:41 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9666417269
Krishna Kundina
Patient Loss
Approved
Telangana
Approved
Approved
27/11/23, 11:18 am
28/11/23, 11:39 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8985826943
B Harika
Patient Loss
Approved
Andhra Pradesh
Approved
Approved
27/11/23, 11:19 am
28/11/23, 6:54 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8319065376
Khushi
Patient Loss
Approved
Chhattisgarh
Approved
Approved
27/11/23, 11:20 am
28/11/23, 7:12 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8469671840
Sitaba Jadeja
Patient Loss
Approved
Maharashtra
Approved
Approved
27/11/23, 11:24 am
28/11/23, 11:26 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9353553326
Vijayalakshmi K V
Patient Loss
Approved
Karnataka
Approved
Approved
27/11/23, 11:53 am
28/11/23, 11:55 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9574152583
Dipali Solanki
Patient Loss
Approved
Gujarat
Approved
Approved
27/11/23, 11:54 am
28/11/23, 7:01 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9940225755
Yogesh
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/11/23, 11:55 am
28/11/23, 11:57 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7881196636
Shiv Ram
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/11/23, 11:56 am
28/11/23, 11:57 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6266337539
Princy Jain
Patient Loss
Approved
Madhya Pradesh
Approved
Approved
27/11/23, 11:58 am
28/11/23, 12:00 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7631759410
Reena Devi
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/11/23, 11:59 am
28/11/23, 11:40 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9874610217
Ram Chand Bhuniya
Patient Loss
Approved
West Bengal
Approved
Approved
27/11/23, 12:02 pm
28/11/23, 11:27 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8288899114
Manjit Kaur Kaler
Patient Loss
Approved
Punjab
Approved
Approved
28/11/23, 3:58 am
28/11/23, 6:51 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9847508346
Jose
Patient Loss
Approved
Kerala
Approved
Approved
28/11/23, 3:59 am
28/11/23, 11:25 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9892292890
Gaytri Chauhan
Patient Loss
Approved
Maharashtra
Approved
Approved
28/11/23, 4:00 am
28/11/23, 9:04 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8956883375
Ramesh Nidhan
Patient Loss
Approved
Maharashtra
Approved
Approved
28/11/23, 4:01 am
28/11/23, 11:45 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9159156515
Ramuthy A
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/11/23, 4:02 am
28/11/23, 7:20 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9751020158
Balaswamy
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/11/23, 4:03 am
28/11/23, 11:59 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9010311678
Babu
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/11/23, 4:04 am
28/11/23, 7:00 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9750282191
Sasivarthini
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/11/23, 4:05 am
28/11/23, 6:49 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9884618616
Ramachandramoorthy
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/11/23, 4:06 am
28/11/23, 6:43 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9410961156
Tripan Singh
Patient Loss
Approved
Uttarakhand
Approved
Approved
28/11/23, 4:07 am
28/11/23, 11:49 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9620342444
Jeeva Prakash valli
Patient Loss
Approved
Karnataka
Approved
Approved
28/11/23, 4:10 am
28/11/23, 11:31 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
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