Patient Name /
Patient ID
Apt. ID
Visit ID
Apt. Date /
Apt. Time
Department /
Doctor
Payment Type Claim# Claim Status
John Doe
PID 562588
123456
123456
25-03-2020
16:45
Surgery
Dr. Sateesh Talpade
1 Ins 2 C C 3 S S 4 S P 123456 Recode
John Doe
PID 562588
123456
123456
25-03-2020
16:45
Surgery
Dr. Sateesh Talpade
1 Ins 2 C C 3 S S 4 S P 123456 Recode
John Doe
PID 562588
123456
123456
25-03-2020
16:45
Surgery
Dr. Sateesh Talpade
1 Ins 2 C C 3 S S 4 S P 123456 Recode
John Doe
PID 562588
123456
123456
25-03-2020
16:45
Surgery
Dr. Sateesh Talpade
1 Ins 2 C C 3 S S 4 S P 123456 Recode
; ;