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Approval Request - Coggle Diagram
Approval Request
Total
ICD
Limit
CC
Prescription
Without Prescription
With Prescription
Coverage
Outpatient
Inpatient
*UHID
*Doctor
*Payer
*Grade
*Bed type
*Visit ID
Remarks
Name
Specialization
Agreement
*Referral Basis No.
Mobile No.
Approval Request No.
Doctor Remarks
Doctor Remarks
Age/Gernder
Approval Day
Valid till
*Order Level Status
App. Received Date
*Service
Qty
Sl. No.
*Item
*Service
Price
Total Price
*Approval Status
Limit Approval Amount
Reasons