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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
9432587921
Manohar Upadhaya
Patient Loss
Approved
Jharkhand
Approved
Approved
28/11/23, 6:30 am
28/11/23, 11:31 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8583007670
Aparna pal
Patient Loss
Approved
West Bengal
Approved
Approved
28/11/23, 6:31 am
28/11/23, 11:42 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7392985950
Hari Chand Singh
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
28/11/23, 6:32 am
28/11/23, 8:40 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7021666698
Amardeep Kumar
Patient Loss
Approved
West Bengal
Approved
Approved
28/11/23, 6:32 am
28/11/23, 11:43 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9041450215
Adarsh Yadav
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
28/11/23, 6:32 am
28/11/23, 8:55 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9863252951
Angelos Nongsiej
Patient Loss
Approved
Megalaya
Approved
Approved
28/11/23, 6:33 am
28/11/23, 12:01 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9342075582
Dharani
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/11/23, 6:34 am
28/11/23, 8:42 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8791458950
Vinod Kumar Gupta
Patient Loss
Approved
West Bengal
Approved
Approved
28/11/23, 6:35 am
28/11/23, 8:39 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9553997245
Gaddam Kamalamma
Patient Loss
Approved
Telangana
Approved
Approved
28/11/23, 6:36 am
28/11/23, 8:38 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8330932070
Sunajharo Devi
Patient Loss
Approved
Jharkhand
Approved
Approved
28/11/23, 6:36 am
28/11/23, 11:57 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8778838644
Parvati Yadav
Patient Loss
Approved
Bihar
Approved
Approved
28/11/23, 6:37 am
28/11/23, 11:37 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8415826495
Huidrom Sanahanbi Devi
Patient Loss
Approved
Manipur
Approved
Approved
28/11/23, 6:38 am
28/11/23, 9:06 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7708623355
Rithika
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/11/23, 6:39 am
15/12/23, 5:52 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9822636140
Phakkadrao Kardile
Patient Loss
Approved
Maharashtra
Approved
Approved
28/11/23, 6:39 am
28/11/23, 8:42 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9247457158
Kandure Jayanthi
Patient Loss
Approved
Telangana
Approved
Approved
28/11/23, 6:40 am
28/11/23, 8:56 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9701877389
Janakamma B
Patient Loss
Approved
Telangana
Approved
Approved
28/11/23, 6:41 am
28/11/23, 8:39 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7069375521
Halaji Thakor
Patient Loss
Approved
Gujarat
Approved
Approved
28/11/23, 6:41 am
28/11/23, 11:37 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9501370629
Gurmail Singh
Patient Loss
Approved
Punjab
Approved
Approved
28/11/23, 6:42 am
28/11/23, 8:40 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9423413967
Yashwant Lanje
Patient Loss
Approved
Maharashtra
Approved
Approved
28/11/23, 6:43 am
28/11/23, 8:39 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8175003520
Manorama
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
28/11/23, 6:44 am
28/11/23, 11:43 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9862036971
Sisilda Mawlong
Patient Loss
Approved
Megalaya
Approved
Approved
28/11/23, 6:44 am
28/11/23, 11:47 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9414169191
Rafiq Ali Saiyed
Patient Loss
Approved
Rajasthan
Approved
Approved
28/11/23, 6:45 am
28/11/23, 8:36 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9867284752
Revathi Mahalakshmi
Patient Loss
Approved
Telangana
Approved
Approved
28/11/23, 6:45 am
28/11/23, 8:37 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9994746179
Kittan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
30/11/23, 5:34 am
18/12/23, 11:11 am
He
21/5/23, 6:30 pm
ACM has to fill TLC,DLC Report
Pending
He
9586563660
Alfabai Sama
Patient Loss
Approved
Gujarat
Approved
Approved
30/11/23, 6:16 am
2/12/23, 6:05 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
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