TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

27
S. NO. MRC Claim number (generated on-line in Claim module) of all claims processed and sent to PAO in the month mentioned above (A) Date of receipt of claim in AD Office Name of primary card holder/ Claimant Name of patient beneficiary BENID/ CARD NO Amount Claimed in INR Amount passed in INR BILL NO. Date when sent to PAO/Date Settled 1 615/2021/PUN/PU08 17-06-2021 SANGITA RASKAR SACHIN RASKAR 6419630 281776 128185 709-21 02-08-2021 2 606/2021/PUN/PU01 17-06-2021 KALABAI PATIL KALABAI PATIL 2740092 11377 8177 710A-21 07-08-2021 3 881/2021/PUN/PU05 22-06-2021 NAMDEO GANPAT VAIDYA NAMDEO GANPAT VAIDYA 1246792 57083 44059 824-21 02-08-2021 4 828/2021/PUN/PU08 22-06-2021 ANIL RAMCHANDRA EKBOTE SULBHA A EKBOTE 6045733 142036 90890 827-21 07-08-2021 5 766/2021/PUN/PU08 22-06-2021 SIDDHANT MANGALMURTI KULKARNI LATE MADHURI M KULKARN CARD HOLDER 6872699 469207 275758 828-21 07-08-2021 6 764/2021/PUN/PU05 22-06-2021 SHAKUNTALA LATE S PADMANABH CARD HOLDER 1233824 181499 133871 829-21 07-08-2021 7 765/2021/PUN/PU05 22-06-2021 SHAKUNTALA SHAKUNTALA 1233824 76969 53722 829A-21 07-08-2021 8 898/2021/PUN/PU05 22-06-2021 GOKULDAS BABURAO DHAWALE LATA G DHAWALE 6242552 2539 251 830-21 07-08-2021 9 BY POST 05-04-2021 ANNAMMA PHILIP ANNAMMA PHILIP 1863313 403059 84593 831A-21 02-08-2021 10 403/2021/PUN/PU03 02-06-2021 RAM SWAROOP NEHALIA RAM SWAROOP NEHALIA 1865940 232493 1826 831B-21 02-08-2021 11 367/2021/PUN/PU01 03-06-2021 BEBI S GADE LATE SAYAJI V GADE CARD HOLDER 5058608 166860 151293 831C-21 02-08-2021 12 827/2021/PUN/PU08 24-06-2021 BHAGYASHRI A TAKLE BHAGYASHRI A TAKLE 6843724 158038 132554 846-21 02-08-2021 13 939/2021/pun/pu09 24-06-2021 HAJIRNIS VIDYA SUBHASH HAJIRNIS VIDYA SUBHASH 4158444 280817 103438 851-21 02-08-2021 14 913/2021/PUN/PU07 01-07-2021 DRAUPADI DAGADU OWHAL DRAUPADI DAGADU OWHAL 1865728 11772 9330 860-21 02-08-2021 15 824/2021/PUN/PU01 01-07-2021 ANUSAYA DEVRAM SONAWANE ANUSAYA DEVRAM SONAWANE 1247439 17281 2852 870-21 02-08-2021 16 742/2021/PUN/PU01 01-07-2021 ARUN GENU JAGTAP ARUN GENU JAGTAP 4914978 54021 42163 878-21 12-08-2021 17 734/2021/PUN/PU08 01-07-2021 NEENA CHANDWANI MOHAN G TAHLIANI 986766 117022 33498 892-21 02-08-2021 18 934/2021/PUN/PU08 01-07-2021 MEGHANA VILAS OAK MEGHANA VILAS OAK 4745433 207190 111420 901-21 02-08-2021 19 900/2021/PUN/PU08 01-07-2021 AJANTA RAMCHANDRA PAWAR AJANTA RAMCHANDRA PAWAR 6785287 287003 236605 902-21 02-08-2021 CGHS PUNE TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND SENT TO PAO IN THE PREVIOUS MONTH - AUGUST 2021 CGHS, PUNE Page: 1 01-09-2021

Transcript of TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

Page 1: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

1 615/2021/PUN/PU08 17-06-2021 SANGITA RASKAR SACHIN RASKAR 6419630 281776 128185 709-21 02-08-2021

2 606/2021/PUN/PU01 17-06-2021 KALABAI PATIL KALABAI PATIL 2740092 11377 8177 710A-21 07-08-2021

3 881/2021/PUN/PU05 22-06-2021 NAMDEO GANPAT VAIDYA NAMDEO GANPAT VAIDYA 1246792 57083 44059 824-21 02-08-2021

4 828/2021/PUN/PU08 22-06-2021 ANIL RAMCHANDRA EKBOTE SULBHA A EKBOTE 6045733 142036 90890 827-21 07-08-2021

5 766/2021/PUN/PU08 22-06-2021

SIDDHANT MANGALMURTI

KULKARNI

LATE MADHURI M KULKARN

CARD HOLDER 6872699 469207 275758 828-21 07-08-2021

6 764/2021/PUN/PU05 22-06-2021 SHAKUNTALA

LATE S PADMANABH CARD

HOLDER 1233824 181499 133871 829-21 07-08-2021

7 765/2021/PUN/PU05 22-06-2021 SHAKUNTALA SHAKUNTALA 1233824 76969 53722 829A-21 07-08-2021

8 898/2021/PUN/PU05 22-06-2021

GOKULDAS BABURAO

DHAWALE LATA G DHAWALE 6242552 2539 251 830-21 07-08-2021

9 BY POST 05-04-2021 ANNAMMA PHILIP ANNAMMA PHILIP 1863313 403059 84593 831A-21 02-08-2021

10 403/2021/PUN/PU03 02-06-2021 RAM SWAROOP NEHALIA RAM SWAROOP NEHALIA 1865940 232493 1826 831B-21 02-08-2021

11 367/2021/PUN/PU01 03-06-2021 BEBI S GADE

LATE SAYAJI V GADE CARD

HOLDER 5058608  166860 151293 831C-21 02-08-2021

12 827/2021/PUN/PU08 24-06-2021 BHAGYASHRI A TAKLE BHAGYASHRI A TAKLE 6843724 158038 132554 846-21 02-08-2021

13 939/2021/pun/pu09 24-06-2021 HAJIRNIS VIDYA SUBHASH HAJIRNIS VIDYA SUBHASH 4158444 280817 103438 851-21 02-08-2021

14 913/2021/PUN/PU07 01-07-2021 DRAUPADI DAGADU OWHAL DRAUPADI DAGADU OWHAL 1865728 11772 9330 860-21 02-08-2021

15 824/2021/PUN/PU01 01-07-2021

ANUSAYA DEVRAM

SONAWANE ANUSAYA DEVRAM SONAWANE 1247439 17281 2852 870-21 02-08-2021

16 742/2021/PUN/PU01 01-07-2021 ARUN GENU JAGTAP ARUN GENU JAGTAP 4914978 54021 42163 878-21 12-08-2021

17 734/2021/PUN/PU08 01-07-2021 NEENA CHANDWANI MOHAN G TAHLIANI 986766 117022 33498 892-21 02-08-2021

18 934/2021/PUN/PU08 01-07-2021 MEGHANA VILAS OAK MEGHANA VILAS OAK 4745433 207190 111420 901-21 02-08-2021

19 900/2021/PUN/PU08 01-07-2021

AJANTA RAMCHANDRA

PAWAR AJANTA RAMCHANDRA PAWAR 6785287 287003 236605 902-21 02-08-2021

CGHS PUNE

TABLE 1 Date: 01/09/2021

STATUS OF MRCs PROCESSED AND SENT TO PAO IN THE PREVIOUS MONTH - AUGUST 2021

CGHS, PUNE Page: 1 01-09-2021

Page 2: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

20 BY POST 01-07-2021 BAJIRAO SASANE BAJIRAO SASANE 5130146 170162 100400 903-21 02-08-2021

21 BY POST 01-07-2021 BAJIRAO SASANE TARA BAI SASANE 5130146 215837 197111 903A-21 02-08-2021

22 BY POST 01-07-2021 B RAMAMURTHY BHOOMA RAMAMURTHY 1873806 63460 62447 905-21 02-08-2021

23 BY POST 01-07-2021 B RAMAMURTHY B RAMAMURTHY 1873806 99165 88694 905A-21 02-08-2021

24 949/2021/PUN/PU07 01-07-2021

KAMAL SHANKARRAO

GAIKWAD KAMAL SHANKARRAO GAIKWAD 1866554 71386 71386 906-21 02-08-2021

25 956/2021/PUN/PU07 01-07-2021 MANIKAM CHINNASWAMY MANIKAM CHINNASWAMY 1841863 24808 16581 907-21 02-08-2021

26 957/2021/PUN/PU07 01-07-2021 MANIKAM CHINNASWAMY MANIKAM CHINNASWAMY 1841863 23545 16581 907A-21 02-08-2021

27 767/2021/PUN/PU07 01-07-2021 SHRIRANG ISHWAR MALI SHRIRANG ISHWAR MALI 7172982 285067 77757 908-21 02-08-2021

28 769/2021/PUN/PU07 01-07-2021 SHRIRANG ISHWAR MALI SHRIRANG ISHWAR MALI 7172982 50889 34784 908A-21 02-08-2021

29 948/2021/PUN/PU07 01-07-2021 DESHPANDE GEETA VINAYAK VINAYAK DESHPANDE 3343140 30073 13565 909-21 02-08-2021

30 954/2021/PUN/PU07 01-07-2021 UJWALA GOVIND MEDHE UJWALA MEDHE 4410081 84014 77935 910-21 02-08-2021

31 953/2021/PUN/PU06 01-07-2021

SAMBHU NATH

CHAKRABARTI SAMBHU NATH CHAKRABARTI 2619742 107820 62148 911-21 02-08-2021

32 952/2021/PUN/PU06 01-07-2021

SAMBHU NATH

CHAKRABARTI NEETI CHAKRABARTI 2619742 98172 50378 911A-21 02-08-2021

33 962/2021/PUN/PU05 01-07-2021 ANKUSH INGULKAR ANKUSH INGULKAR 1246059 128274 106203 912-21 07-08-2021

34 963/2021/PUN/PU05 01-07-2021 SUNIL KESHAV DEODHAR SUNIL KESHAV DEODHAR 5325399 98904 65379 913-21 02-08-2021

35 964/2021/pun/pu05 01-07-2021 UTTAM PISAL UTTAM PISAL 5435709 254229 147022 914-21 02-08-2021

36 965/2021/PUN/PU05 01-07-2021 ASHOK AKHADE RANJANA AKHADE 4513872 327799 158851 915-21 02-08-2021

37 966/2021/PUN/PU05 01-07-2021 ASHOK AKHADE ASHOK AKHADE 4513872 91103 49859 915A-21 02-08-2021

38 561/2021/PUN/PU07 01-07-2021 SHRIKRISHNA PATHAKJI JAYASHREE PATHAKJI 3236128 25169 21371 916-21 02-08-2021

39 977/2021/PUN/PU07 01-07-2021 SAYAJIRAO PATIL VRINDA PATIL 1842366 18653 14846 917-21 02-08-2021

40 729/2021/PUN/PU07 01-07-2021 NARENDRA KANITKAR NARENDRA KANITKAR 1854948 78832 64042 918-21 02-08-2021

41 987/2021/PUN/PU02 01-07-2021 BHASKAR ANANT JADHAV PRAMILA JADHAV 5345006 4333 4333 919-21 02-08-2021

42 974/2021/PUN/PU02 02-07-2021 BHASKAR ANANT JADHAV BHASKAR ANANT JADHAV 5345006 4224 2498 919A-21 02-08-2021

43 980/2021/PUN/PU02 01-07-2021 NILKANTH NANDANWAR NILKANTH NANDANWAR 7103896 55437 47754 921-21 07-08-2021

44 983/2021/PUN/PU02 01-07-2021 NILKANTH NANDANWAR ISHAN NANDANWAR 7103896 17123 10907 921A-21 07-08-2021

CGHS, PUNE Page: 2 01-09-2021

Page 3: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

45 982/2021/PUN/PU02 01-07-2021 NILKANTH NANDANWAR SWIKRUTI NANDANWAR 7103896 17363 8812 921B-21 07-08-2021

46 981/2021/PUN/PU02 01-07-2021 NILKANTH NANDANWAR MINA NANDANWAR 7103896 122770 96951 921C-21 07-08-2021

47 979/2021/PUN/PU02 01-07-2021 JIVAN DHIWAR LATE SHEVANTA DHIWAR 6059899 149354 108283 922-21 07-08-2021

48 930/2021/PUN/PU06 01-07-2021 S RENUKA DEVI S RENUKA DEVI 5048669 108675 86052 923-21 07-08-2021

49 925/2021/PUN/PU06 01-07-2021 R V RAMAN R V RAMAN 1235747 2402 2402 924-21 07-08-2021

50 927/2021/PUN/PU06 01-07-2021 R V RAMAN SHYAMALA RAMAN 1235747 2131 2131 924A-21 07-08-2021

51 926/2021/PUN/PU06 01-07-2021 R V RAMAN R V RAMAN 1235747 2649 2649 924B-21 07-08-2021

52 928/2021/PUN/PU06 01-07-2021 R V RAMAN SHYAMALA RAMAN 1235747 2164 2164 924C-21 07-08-2021

53 931/2021/PUN/PU06 01-07-2021 L KARUNAKARA RAO L KARUNAKARA RAO 5749567 8146 6828 925-21 07-08-2021

54 932/2021/PUN/PU06 01-07-2021 L KARUNAKARA RAO L SYAMALADEVI RAO 5749567 10655 9301 925A-21 07-08-2021

55 929/2021/PUN/PU06 01-07-2021 SADASHIV DUPPALIWAR SADASHIV DUPPALIWAR 5292837 118894 105967 926-21 07-08-2021

56 1031/2021/PUN/PU05 01-07-2021

BHIMRAO SHANKAR

GUGALE BHIMRAO SHANKAR GUGALE 4571871 77538 39241 927-21 07-08-2021

57 1033/2021-PUN-PU05 01-07-2021

ASHOK RAMCHANDRA

MADHAVI ASHOK RAMCHANDRA MADHAVI 3478079 9000 9000 928-21 07-08-2021

58 998/2021/PUN/PU05 01-07-2021

HARISH BALWANT

BHANDARI SUNITA H BHANDARI 5104277 5305 3180 929-21 07-08-2021

59 999/2021/PUN/PU05 01-07-2021 NAMDEO GANPAT VAIDYA NAMDEO GANPAT VAIDYA 1246792 7847 2427 930-21 07-08-2021

60 1001/2021/PUN/PU05 01-07-2021 NAMDEO GANPAT VAIDYA SANGEETA N VAIDYA 1246792 6127 3898 930A-21 07-08-2021

61 1003/2021/PUN/PU05 01-07-2021 NAMDEO GANPAT VAIDYA ROHAN G VAIDYA 1246792 5097 2868 930B-21 07-08-2021

62 1017/2021/PUN/PU05 01-07-2021

CHANDRAKANT SHAMRAO

CHOUDHARI

CHANDRAKANT SHAMRAO

CHOUDHARI 5964772 148220 98545 931-21 07-08-2021

63 973/2021/PUN/PU02 02-07-2021 BALKRUSHNA TULE KAUSHALYA TULE 7149095 106777 101979 932-21 07-08-2021

64 972/2021/PUN/PU02 02-07-2021 BALKRUSHNA TULE BALKRUSHNA TULE 7149095 43311 40596 932A-21 07-08-2021

65 971/2021/PUN/PU02 02-07-2021 BALKRUSHNA TULE BALKRUSHNA TULE 7149095 100930 92838 932B-21 07-08-2021

66 970/2021/PUN/PU02 02-07-2021 RAMDAS KASHID RAMDAS KASHID 5137638 215711 207403 933-21 07-08-2021

67 969/2021/PUN/PU02 02-07-2021 INDU DAMODAR SARODE INDU DAMODAR SARODE 2708157 18000 16000 934-21 07-08-2021

68 968/2021/pun/pu02 02-07-2021 TUKARAM POTE LATE BUDHA POTE CRDHLDR 2617834 73298 43729 935-21 07-08-2021

69 944/2021/PUN/PU03 02-07-2021 SUDHAKAR GHONE ARUNA GHONE 3592995 71552 55296 936-21 07-08-2021

70 945/2021/PUN/PU03 02-07-2021 SUDHAKAR GHONE ARUNA GHONE 3592995 100507 97367 936A-21 07-08-2021

CGHS, PUNE Page: 3 01-09-2021

Page 4: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

71 1042/2021/PUN/PU03 02-07-2021 GANPAT GAIKWAD GANPAT GAIKWAD 1838136 112854 98464 937-21 07-08-2021

72 BY POST 02-07-2021 ARUN SHALIGRAM ZOPE ARUN SHALIGRAM ZOPE 4440419 110486 88203 938-21 07-08-2021

73 BY POST 02-07-2021 SHOBHA M GUNDLEKAR SHOBHA M GUNDLEKAR 5972259 102430 74298 939-21 07-08-2021

74 1004/2021/PUN/PU05 02-07-2021 SAVITA GOWDA SAVITA GOWDA 6315063 83730 74116 940-21 07-08-2021

75 1028/2021/PUN/PU05 02-07-2021 SHAKUNTALA PATANGE SHAKUNTALA PATANGE 1236162 121185 72198 941-21 02-08-2021

76 1030/2021/PUN/PU05 02-07-2021 DILIP NAGANE ALKA NAGANE 1248778 253469 170909 942-21 02-08-2021

77 1063/2021/PUN/PU02 03-07-2021 SUNITA KALWAY LATE SUNIL KALWAY CRDHLDR 7133053 278906 223048 943-21 02-08-2021

78 1059/2021/PUN/PU02 03-07-2021 VIMAL SOPAN HARGUDE DAMU HARGUDE 6999789 72403 38366 944-21 02-08-2021

79 976/2021/PUN/PU07 03-07-2021 KEDAR ASHOK HALBE

LATE SUREKHA ASHOK HALBE

CARD HOLDER 4160385 172326 120258 945-21 02-08-2021

80 975/2021/PUN/PU07 03-07-2021 KEDAR ASHOK HALBE

LATE SUREKHA ASHOK HALBE

CARD HOLDER 4160385 68096 49230 945A-21 02-08-2021

81 1002/2021/PUN/PU07 03-07-2021

SUDHAKAR GOPALRAO

BHANDARI SUDHAKAR GOPALRAO BHANDARI 1855938 84967 55492 946-21 02-08-2021

82 1000/2021/PUN/PU07 03-07-2021

SUDHAKAR GOPALRAO

BHANDARI M S BHANDRI 1855938 70265 34602 946A-21 02-08-2021

83 BY POST 03-07-2021

SHANTARAM YASHWANT

TARU SHANTARAM YASHWANT TARU 6091981 42615 36115 947-21 02-08-2021

84 935/2021/PUN/PU03 03-07-2021

GHANSHYAM RAMCHANDRA

SALUNKE

GHANSHYAM RAMCHANDRA

SALUNKE 4758113 2825 2818 948-21 02-08-2021

85 1040/2021/PUN/PU03 03-07-2021

SUBHASH LAXMAN

GHEGADE MANGAL GHEGADE 2624800 7564 7164 949-21 02-08-2021

86 1038/2021/PUN/PU03 03-07-2021 L G KAVADE L G KAVADE 2892171 7150 4543 950-21 02-08-2021

87 937/2021/PUN/PU03 03-07-2021 PRAMOD BABAN HIRVE PRAMOD BABAN HIRVE 4281448 60248 23709 951-21 02-08-2021

88 946/2021/PUN/PU03 03-07-2021 SUDHAKAR VITHAL GHONE SUDHAKAR VITHAL GHONE 3592995 198856 166404 952-21 02-08-2021

89 947/2021/PUN/PU03 03-07-2021 SUDHAKAR VITHAL GHONE SUDHAKAR VITHAL GHONE 3592995 107526 107526 953-21 02-08-2021

90 1045/2021/PUN/PU02 03-07-2021 SATISH VASANT KOPARDE JYOTI KOPARDE 6844275 12501 12501 954-21 02-08-2021

91 1044/2021/PUN/PU02 03-07-2021 SAMBHAJI KAMBLE DHONDABAI 2721461 11425 4863 955-21 02-08-2021

92 1043/2021/PUN/PU02 03-07-2021

DEEPAK JAGANNATH

CHAVAN DEEPAK JAGANNATH CHAVAN 6693741 34234 3987 956-21 02-08-2021

CGHS, PUNE Page: 4 01-09-2021

Page 5: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

93 1072/2021/PUN/PU02 03-07-2021

HUNDIWALE NANDKUMAR

DATTATRAY

HUNDIWALE NANDKUMAR

DATTATRAY 1842528 115792 99282 958-21 02-08-2021

94 967/2021/PUN/PU08 03-07-2021

PRAKASH RAMCHANDRA

VAZE PRAKASH RAMCHANDRA VAZE 4741229 168540 99818 959-21 02-08-2021

95 955/2021/PUN/PU08 03-07-2021

CHANDRAKANT DIGAMBAR

BHASME USHA BHASME 4289420 8018 6628 960-21 02-08-2021

96 984/2021/PUN/PU08 03-07-2021 SUSHMA PRADEEP SATHE LATE PRADEEP SATHE 4613387 91359 47637 961-21 02-08-2021

97 986/2021/PUN/PU08 03-07-2021

ARVIND SHRIPATRAO

DUGGE ARVIND SHRIPATRAO DUGGE 5674325 21695 21695 962-21 02-08-2021

98 985/2021/PUN/PU08 03-07-2021

MANKAR SURYAKANT

SHIVARAM MANKAR SURYAKANT SHIVARAM 2315721 168159 168159 963-21 19-08-2021

99 960/2021/PUN/PU07 03-07-2021

BAPUSAHEB PANDURANG

SHELAR

LATE SHANTABAI P SHELAR CARD

HOLDER 2715092 134499 105194 964-21 02-08-2021

100 1002/2021/PUN/PU07 03-07-2021 RAJESH GUNENDRA DALVI

LATE MEDHA G DALVI CARD

HOLDER 1861008 20195 9792 965-21 02-08-2021

101 1020/2021/PUN/PU05 03-07-2021

THAKUR KIRATPAL

MANGRUSING JYOTI THAKUR 6953696 130545 66418 966-21 02-08-2021

102 1021/2021/PUN/PU05 03-07-2021

THAKUR KIRATPAL

MANGRUSING JYOTI THAKUR 6953696 51869 35267 966A-21 02-08-2021

103 1022/2021/PUN/PU05 03-07-2021

THAKUR KIRATPAL

MANGRUSING JYOTI THAKUR 6953696 12037 8002 966B-21 02-08-2021

104 1023/2021/PUN/PU05 03-07-2021

THAKUR KIRATPAL

MANGRUSING JYOTI THAKUR 6953696 32521 22684 966C-21 02-08-2021

105 1024/2021/PUN/PU05 03-07-2021

THAKUR KIRATPAL

MANGRUSINGH JYOTI THAKUR 6953696 8216 8096 966D-21 02-08-2021

106 1025/2021/PUN/PU05 03-07-2021

THAKUR KIRATPAL

MANGRUSINGH JYOTI THAKUR 6953696 2316 2316 966E-21 02-08-2021

107 693/2021/PUN/PU04 03-07-2021 LAXMAN SONGOJI LAXMAN SONGOJI 3505559 1700 1700 968-21 02-08-2021

108 708/2021/PUN/PU02 03-07-2021

NAMDEO ANANDRAO

GAWALI NAMDEO ANANDRAO GAWALI 2592777 116552 94181 969-21 02-08-2021

109 1064/2021/PUN/PU02 03-07-2021

SHERKHANE NAGNATH

MANOHAR

SHERKHANE NAGNATH

MANOHAR 3711659 2950 1600 970-21 02-08-2021

CGHS, PUNE Page: 5 01-09-2021

Page 6: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

110 1007/2021/PUN/PU05 03-07-2021

MADHAV KESHAV

MANGALMURTI ANJALI MANGALMURTI 1236280 1298 1298 971-21 02-08-2021

111 1006/2021/PUN/PU05 03-07-2021 BHAGWAN VITHAL SHINDE BHAGWAN VITHAL SHINDE 6706442 73590 35288 972-21 02-08-2021

112 958/2021/PUN/PU07 03-07-2021

BAPUSAHEB PANDURANG

SHELAR SUNANDA SHELAR 4023763 85610 70355 973-21 02-08-2021

113 1011/2021/PUN/PU05 03-07-2021 SHALINI SHAM PAITHANKAR SHALINI SHAM PAITHANKAR 1262665 207124 164987 974-21 02-08-2021

114 1012/2021/PUN/PU05 03-07-2021 SHALINI SHAM PAITHANKAR SHALINI SHAM PAITHANKAR 1262665 3308 3308 974A-21 02-08-2021

115 1016/2021/PUN/PU05 03-07-2021 SHALINI SHAM PAITHANKAR SHALINI SHAM PAITHANKAR 1262665 3815 2316 974B-21 02-08-2021

116 1065/2021/PUN/PU02 03-07-2021

SUBHASH BHIMAJI

ASHTEKAR SUBHASH BHIMAJI ASHTEKAR 3538767 19000 7898 975-21 02-08-2021

117 995/2021/PUN/PU07 03-07-2021 SRIPAD SHRIPAD PATANKAR SRIPAD SHRIPAD PATANKAR 2609440 3977 2205 976-21 02-08-2021

118 996/2021/PUN/PU07 03-07-2021 KAMAL GANGADHAR MORE KAMAL GANGADHAR MORE 1860137 4451 2482 977-21 02-08-2021

119 997/2021/PUN/PU07 03-07-2021

KASTURI JAGANNATH

PAWAR

LATE JAGANNATH K PAWAR CARD

HOLDER 1860906 43698 26079 978-21 02-08-2021

120 1073/2021/PUN/PU04 03-07-2021

VISHVANATH WAMAN

KAMBALE VISHVANATH WAMAN KAMBALE 4571562 170000 103335 979-21 02-08-2021

121 1019/2021/PUN/PU07 03-07-2021 SANTOSH S NIRVANE

LATE SATYABHAMA S NIRVANE

CARD HOLDER 5471526 88454 51709 980-21 02-08-2021

122 1014/2021/PUN/PU07 03-07-2021

HARIBHAU RAJARAM

KHARABI HARIBHAU RAJARAM KHARABI 1842474 281865 200018 981-21 02-08-2021

123 1010/2021/PUN/PU07 03-07-2021

HARIBHAU RAJARAM

KHARABI HARIBHAU RAJARAM KHARABI 1842474 217038 181009 981A-21 02-08-2021

124 1069/2021/PUN/PU02 03-07-2021 CHHAYA PRAKASH PAWAR LATE PRAKASH M PAWAR 4526436 263100 231420 982-21 02-08-2021

125 1071/2021/PUN/PU02 03-07-2021 CHHAYA PRAKASH PAWAR SATISH VASANT KOPARDE 4526436 115702 73578 982A-21 02-08-2021

126 1046/2021/PUN/PU02 03-07-2021 SATISH VASANT KOPARDE SATISH VASANT KOPARDE 6844275 12500 12500 983-21 02-08-2021

127 1074/2021/PUN/PU02 03-07-2021

HUNDIWALE

NANDKUMARDATTATRAY

HUNDIWALE

NANDKUMARDATTATRAY 1842528 63526 44630 984-21 02-08-2021

128 1067/2021/PUN/PU04 03-07-2021 VILAS SOPAN SONAWANE VILAS SOPAN SONAWANE 1829563 154667 126473 985-21 02-08-2021

CGHS, PUNE Page: 6 01-09-2021

Page 7: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

129 1066/2021/PUN/PU04 03-07-2021 VILAS SOPAN SONAWANE NANDA V SONAWANE 1829563 115411 98854 985A-21 02-08-2021

130 1076/2021/PUN/PU04 03-07-2021 T LATA T LATA 4133531 38035 18456 986-21 02-08-2021

131 877/2021/PUN/PU07 03-07-2021 RAJANI ASHOKRAO PATIL RAJANI ASHOKRAO PATIL 10012426 245890 193159 987-21 02-08-2021

132 1081/2021/PUN/PU04 03-07-2021 BHASKAR PATIL SHARAYU PATIL 4147983 71950 64834 988-21 02-08-2021

133 1082/2021/PUN/PU04 03-07-2021

SUBHASH MADHUSUDAN

KULKARNI

SUBHASH MADHUSUDAN

KULKARNI 3727713 589 589 989-21 02-08-2021

134 1083/2021/PUN/PU04 03-07-2021

SUBHASH MADHUSUDAN

KULKARNI

SUBHASH MADHUSUDAN

KULKARNI 3727713 589 589 989A-21 02-08-2021

135 1093/2021/PUN/PU05 03-07-2021 JOSHI NEELIMA BABURAO JOSHI NEELIMA BABURAO 4328358 82354 44701 991-21 07-08-2021

136 1088/2021/PUN/PU05 03-07-2021 RAMESH JIJABA KAMBLE RAMESH JIJABA KAMBLE 3314553 35673 19547 992-21 02-08-2021

137 951/2021/PUN/PU06 03-07-2021 ARUN MARUTI DAMBRE LATE SUNANDA A DAMBRE 5773946 217615 183170 993-21 02-08-2021

138 1009/2021/PUN/PU06 03-07-2021

VITTHAL RAGHUNATH

KULKARNI VITTHAL RAGHUNATH KULKARNI 5834484 95000 40797 994-21 02-08-2021

139 1013-2021/PUN/PU06 03-07-2021

VITTHAL RAGHUNATH

KULKARNI VITTHAL RAGHUNATH KULKARNI 5834484 144882 133456 995-21 02-08-2021

140 1015/2021/PUN/PU06 03-07-2021 SADASHIV DUPPALIWAR L S DUPPALKAR 5292837 119826 105193 996-21 02-08-2021

141 842/2021/PUN/PU06 03-07-2021 DASS PHILOM1NAS DASS PHILOMONAS 1863388 51246 45475 997-21 02-08-2021

142 BY POST 03-07-2021 ARUN KUMAR DAR ARUN KUMAR DAR 4315082 4000 270 998-21 12-08-2021

143 924/2021/PUN/PU04 03-07-2021 ARJUN SADAHU HOLKAR ARJUN SADHU HOLKAR 3596554 164395 116560 999-21 02-08-2021

144 923/2021/PUN/PU04 03-07-2021 ARJUN SADAHU HOLKAR ARJUN SADHU HOLKAR 3596554 6137 5207 999A-21 02-08-2021

145 922/2021/PUN/PU04 03-07-2021 ARJUN SADAHU HOLKAR ARJUN SADHU HOLKAR 3596554 6619 2712 999B-21 02-08-2021

146 1068/2021/PUN/PU04 03-07-2021 PRAMILA MAHENDRA SHAH MAHENDRA KUMAR SHAH 3823121 42197 32902 1000-21 02-08-2021

147 1075/2021/PUN/PU04 03-07-2021

MADHAV RAMACHANDRA

JAGDALE

MADHAV RAMACHANDRA

JAGDALE 1854827 21977 14195 1001-21 07-08-2021

148 1084/2021/PUN/PU04 03-07-2021 SAMBHAJI DAGADU PAWAR SAMBHAJI DAGADU PAWAR 2592973 3800 2300 1002-21 07-08-2021

149 1041/2021/PUN/PU05 03-07-2021 DNYANESHWAR BHOLE DNYANESHWAR BHOLE 3944729 582 382 1003-21 07-08-2021

150 1077/2021/PUN/PU04 03-07-2021

WARKE PANDURANG

TULSIRAM WARKE PANDURANG TULSIRAM 3967214 4884 1679 1004-21 07-08-2021

CGHS, PUNE Page: 7 01-09-2021

Page 8: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

151 921/2021/PUN/PU04 03-07-2021 SHRIPAD PURANIK SHRIPAD PURANIK 4287958 3850 3850 1005-21 07-08-2021

152 920/2021/PUN/PU04 03-07-2021 ANIL VITHAL PATHAK ANIL VITHAL PATHAK 1854472 5174 2004 1006-21 07-08-2021

153 1078/2021/PUN/PU04 03-07-2021

GIRISH HEMCHAND

BENDALE LATE SUSHILA B BENDALE 4253896 136211 92071 1007-21 07-08-2021

154 1079/2021/PUN/PU04 03-07-2021 HIRABAI MOTILAL PATIL HIRABAI MOTILAL PATIL 4560489 137261 66567 1008-21 07-08-2021

155 1080/2021/PUN/PU04 03-07-2021 BHASKAR PATIL BHASKAR PATIL 4147983 136978 127531 1009-21 07-08-2021

156 989/2021/PUN/PU02 03-07-2021 POPAT UMAJI SHEJWAL LATA P SHEJWAL 6821292 8609 7915 1010-21 07-08-2021

157 988/2021/PUN/PU02 03-07-2021 POPAT UMAJI SHEJWAL POPAT UMAJI SHEJWAL 6821292 44525 37925 1010A-21 07-08-2021

158 990/2021/PUN/PU02 03-07-2021 RATAN RAMAJI UMAP SAKHUBAI R UMAP 5929791 86500 83224 1011-21 07-08-2021

159 1094/2021/PUN/PU05 03-07-2021 JOSHI NEELMA BABURAO JOSHI NEELMA BABURAO 4328358 17806 9752 1012-21 07-08-2021

160 1090/2021/PUN/PU05 03-07-2021 M A SINARE M A SINARE 1235284 119574 110868 1013-21 07-08-2021

161 1095/2021/PUN/PU05 03-07-2021 SHALINI SHAM PAITHANKAR SHAM B PAITHANKAR 1262665 20000 5323 1014-21 07-08-2021

162 1089/2021/PUN/PU05 03-07-2021

AVINASH RAMCHANDRA

PUNTAMBEKAR

AVINASH RAMCHANDRA

PUNTAMBEKAR 1233381 3825 3825 1015-21 07-08-2021

163 1092/2021/PUN/PU05 03-07-2021 SURYAKANT C KESHARKAR HEMLATA S KESHARKAR 4104344 19304 12647 1016-21 07-08-2021

164 1091/2021/PUN/PU05 03-07-2021

SUKHADEV SHRIPATI

AWATADE LATE ASHAS AWATADE 4404381 316150 225310 1017-21 07-08-2021

165 1048/2021/PUN/PU05 03-07-2021 SUBHASHINI DHINGRA SUBHASHINI DHINGRA 1229544 240870 120253 1018-21 07-08-2021

166 1049/2021/PUN/PU05 03-07-2021 BHAKHRY RATTAN BHAKHRY RATTAN 1237208 14064 14024 1019-21 07-08-2021

167 1047/2021/PUN/PU05 03-07-2021 SAROJA VASANT VASANT DHARMALINGAM 1252837 17025 2160 1020-21 07-08-2021

168 1037/2021/PUN/PU05 03-07-2021 DNYANESHWAR BHOLE JYOSTNA D BHOLE 3944729 1200 1200 1021-21 07-08-2021

169 BY POST 05-07-2021 JOSHI KESHAV NARAYAN LATE SHEELA JOSHI 1850135 360000 187967 1023-21 07-08-2021

170 BY POST 05-07-2021 DATTATRAYA KULKARNI DATTATRAYA KULKARNI 6785438 91089 79258 1024-21 07-08-2021

171 BY POST 05-07-2021 DATTATRAYA KULKARNI MALTI KULKARNI 6785438 93173 80877 1024A-21 07-08-2021

172 1125/2021/PUN/PU02 05-07-2021 HOSURKAR KEDARI MARUTI LALITA HOSURKAR 1855615 262698 217902 1025-21 07-08-2021

173 1121/2021/PUN/PU02 05-07-2021 HOSURKAR KEDARI MARUTI HOSURKAR KEDARI MARUTI 1855615 298394 247131 1025A-21 07-08-2021

174 1141/2021/PUN/PU06 05-07-2021 JOLLY ABRAHAM ABRAHAM VARGHESE  3918577 78808 48039 1026-21 07-08-2021

175 1140/2021/PUN/PU06 05-07-2021 JOLLY ABRAHAM JOLLY ABRAHAM 3918577 82575 49188 1026A-21 07-08-2021

CGHS, PUNE Page: 8 01-09-2021

Page 9: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

176 1103/2021/PUN/PU06 05-07-2021 BALIRAM MOHANLAL BHOI BALIRAM MOHANLAL BHOI 6482244 97836 89026 1027-21 07-08-2021

177 1100/2021/PUN/PU06 05-07-2021

BAJIRAO DATTATRAY

KAPARE MANDABAI KAPARE 1877034 32173 27804 1028-21 07-08-2021

178 1139/2021/PUN/PU06 05-07-2021 SAROJNI DEVI KUMAR SAROJNI DEVI KUMAR 2608736 292396 230421 1029-21 07-08-2021

179 1104/2021/PUN/PU06 05-07-2021 RADHA LAXMAN IRCHAPAN RADHA LAXMAN IRCHAPAN 2685252 23397 21388 1030-21 07-08-2021

180 1101/2021/PUN/PU06 05-07-2021 STELLA THOMAS LATE P T THOMAS   4124076 109455 109455 1031-21 07-08-2021

181 BY POST 05-07-2021

ROHINI SOMNATH

DESHPANDE 

LATE SOMNATH DESHPANDE

CARD 1878291 540697 290053 1032-21 07-08-2021

182 1008/2021/PUN/PU05 05-07-2021

CHOUDHARY MEENA

KARTAR CHOUDHARY MEENA KARTAR 3354782 115794 45899 1033-21 07-08-2021

183 1138/2021/PUN/PU02 05-07-2021

LAXMANRAO BHIMRAO

PHUGNAR

LAXMANRAO BHIMRAO

PHUGNAR 5693616 70446 53372 1033A-21 07-08-2021

184 1137/2021/PUN/PU02 08-07-2021

SHAILESH CHANDRA

SRIVASTAVA SUMAN S SRIVASTAVA  5729626 61122 40740 1034-21 07-08-2021

185 1111/2021/PUN/PU02 08-07-2021 RAMDAS SADHU KASHID PADMAUATI R KASHID  5137638 65558 49482 1035-21 07-08-2021

186 1115/2021/PUN/PU02 08-07-2021

SHASHIKANT NANA

CHANDANSHIVE LATE ARUNA S CHANDANSHIVE  4014435 655000 432379 1037-21 07-08-2021

187 1132/2021/PUN/PU02 08-07-2021 SUPRIYA KUMAR HALDER SUPRIYA KUMAR HALDER 2699757 6009 4009 1038-21 07-08-2021

188 1087/2021/PUN/PU02 08-07-2021

ABDULKADAR ABDULKARIM

PATEL

ABDULKADAR ABDULKARIM

PATEL 2702618 1729 845 1039-21 07-08-2021

189 1086/2021/PUN/PU02 08-07-2021 CHIDANAND MASKI CHIDANAND MASKI 6844480 3670 3159 1040-21 07-08-2021

190 1085/2021/PUN/PU02 08-07-2021 CHIDANAND MASKI VEENA C MASKI 6844480 3973 3973 1040A-21 07-08-2021

191 1109/2021/PUN/PU02 08-07-2021 ASHISH MANIKRAO BADE RUPALI B DHAKNE 5766703 30359 15785 1041-21 25-08-2021

192 1134/2021/PUN/PU02 08-07-2021

SUDHAKAR MALHARI

KAMBLE SUDHAKAR MALHARI KAMBLE 5391164 15290 13734 1042-21 07-08-2021

193 1136/2021/PUN/PU02 08-07-2021 KAILASH LAXMAN TARALKAR KAILASH LAXMAN TARALKAR 2736411 52668 46574 1043-21 07-08-2021

194 1135/2021/PUN/PU02 08-07-2021

RANJIT KRISHNASINH

RAJPUT RANJIT KRISHNASINH RAJPUT 7224206 17648 16443 1044-21 07-08-2021

CGHS, PUNE Page: 9 01-09-2021

Page 10: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

195 1127/2021/PUN/PU02 08-07-2021

SUDHIR MADHAVRAO

KULKARNI SUDHIR MADHAVRAO KULKARNI 4048009 14646 4990 1045-21 07-08-2021

196 1126/2021/PUN/PU02 08-07-2021

SUDHIR MADHAVRAO

KULKARNI SUSHASINI S KULKARNI 4048009 22513 5627 1045A-21 07-08-2021

197 1112/2021/PUN/PU02 08-07-2021

RAGHUNATH TUKARAM

ALHAT RAGHUNATH TUKARAM ALHAT 5578204 48078 21662 1046-21 07-08-2021

198 1113/2021/PUN/PU02 08-07-2021

RAGHUNATH TUKARAM

ALHAT RAGHUNATH TUKARAM ALHAT 5578204 38415 12748 1046A-21 07-08-2021

199 1039/2021/PUN/PU05 09-07-2021 DNYANESHWAR BHOLE JYOSTNA BHOLE 3944729 850 785 1047-21 07-08-2021

200 1018/2021/PUN/PU07 09-07-2021 SHRIKRISHNA S PATHAKJI JAYASHREE PATHAK 3236128 19377 4654 1048-21 07-08-2021

201 1128/2021/PUN/PU02 09-07-2021

PANDURANG YASHWANT

KOTWAL RANJANA KOTWAL 6979222 107398 57245 1049-21 07-08-2021

202 1129/2021/PUN/PU02 09-07-2021

PANDURANG YASHWANT

KOTWAL

PANDURANG YASHWANT

KOTWAL 6979222 183085 164433 1049A-21 07-08-2021

203 1194/2021/PUN/PU07 09-07-2021 SADASHIV EKNATH PADALE SADASHIV EKNATH PADALE 4127539 16000 2700 1050-21 07-08-2021

204 1148/2021/PUN/PU07 09-07-2021 TANWEER AHMED KHAN TANWEER AHMED KHAN 1822575 76667 29513 1051-21 07-08-2021

205 1147/2021/PUN/PU07 09-07-2021 TANWEER AHMED KHAN TANWEER AHMED KHAN 1822575 86153 80855 1051A-21 07-08-2021

206 1143/2021/PUN/PU07 09-07-2021

SHANTARAM GENUJI

GHOLAP MALATI GHOLAP 3841294 2459 1216 1052-21 07-08-2021

207 1144/2021/PUN/PU07 09-07-2021

SHANTARAM GENUJI

GHOLAP MALATI GHOLAP 3841294 25558 13037 1052A-21 07-08-2021

208 1150/2021/PUN/PU07 09-07-2021 VILAS LAXMAN PUJARI VILAS LAXMAN PUJARI 6502273 10395 7000 1053-21 07-08-2021

209 1152/2021/PUN/PU07 09-07-2021 RAMA YOGENKUMAR ASHER RAMA YOGENKUMAR ASHER 4042554 31500 14000 1054-21 07-08-2021

210 1151/2021/PUN/PU07 09-07-2021 RAMA YOGENKUMAR ASHER RAMA YOGENKUMAR ASHER 4042554 12028 4059 1054A-21 07-08-2021

211 1146/2021/PUN/PU07 09-07-2021

MAHADEO RAMCHANDRA

DHARAP

MAHADEO RAMCHANDRA

DHARAP 1868397 2000 2000 1055-21 07-08-2021

212 1097/2021/PUN/PU07 09-07-2021 SUDHAKAR G BHATE SUDHAKAR G BHATE 1853402 110200 91479 1056-21 07-08-2021

213 1099/2021/PUN/PU07 09-07-2021 SANJAY SHIVRAM TAMBE

LATE SUNEETA TAMBE CARD

HOLDER 1867687 41110 32596 1057-21 07-08-2021

CGHS, PUNE Page: 10 01-09-2021

Page 11: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

214 1153/2021/PUN/PU08 09-07-2021 KULKARNI MADHAV KESHAV SANDHYA KULKARNI 5731640 100384 75029 1058-21 07-08-2021

215 992/2021/PUN/PU08 09-07-2021

SHUBHANGI SURESH

PHADKE SHUBHANGI SURESH PHADKE 6365716 11085 9877 1059-21 07-08-2021

216 993/2021/PUN/PU08 09-07-2021 JANABA MARUTI SAKAT JANABA MARUTI SAKAT 5793290 93355 92488 1060-21 07-08-2021

217 1098/2021/PUN/PU07 12-07-2021

SHRIKRISHNA KASHINATH

MANPATHAK PRATIBHA S MANPATHAK 1858397 99706 64934 1061-21 12-08-2021

218 1142/2021/PUN/PU07 12-07-2021 BABU ADIVAPPA MALA BABU AIVAPPA MALA 2711851 237491 147800 1062-21 12-08-2021

219 1131/2021/PUN/PU07 12-07-2021 SWATI AOSHK ATHAVALE SWATI AOSHK ATHAVALE 7177634 171930 127431 1063-21 12-08-2021

220 1124/2021/PUN/PU07 12-07-2021

MOHAN GAJANAN

KHATAVKAR CHHAYA M KHATAVKAR 6641483 2115 1715 1064-21 12-08-2021

221 1120/2021/PUN/PU07 12-07-2021 NILKANTH DAMODAR JOSHI SUMAN D JOSHI 5845072 36238 15850 1065-21 12-08-2021

222 1117/2021/PUN/PU07 12-07-2021 NILKANTH DAMODAR JOSHI SUMAN D JOSHI 5845072 69946 41590 1066-21 12-08-2021

223 1102/2021/PUN/PU07 12-07-2021 NILKANTH DAMODAR JOSHI NILKANTH DAMODAR JOSHI 5845072 8478 5772 1067-21 12-08-2021

224 991/2021/PUN/PU08 13-07-2021

SHUBHANGI SURESH

PHADKE SURESH PHADKE 6365716 12864 11655 1068-21 12-08-2021

225 994/2021/PUN/PU08 13-07-2021 JANABA MARUTI SAKAT KAMAL SAKAT 5793290 83317 70345 1069-21 12-08-2021

226 BY POST 13-07-2021

DHANGAR VIMAL

SHANTARAM

LATE SHANTARAM S DHANGAR

CARD HOLDER 7018776 135388 96845 1070-21 12-08-2021

227 1161/2021/PUN/PU01 13-07-2021 MANGAL SADASHIV BIDKAR MANGAL SADASHIV BIDKAR 4602605 100942 52429 1071-21 12-08-2021

228 1159/2021/PUN/PU01 13-07-2021 KERAPPA BHARAT KERAPPA BHARAT 1876084 8836 4305 1072-21 12-08-2021

229 1158/2021/PUN/PU01 13-07-2021 RAMESH DAGADU PATIL USHA PATIL 4102263 26735 17507 1073-21 12-08-2021

230 1163/2021/PUN/PU01 13-07-2021

MANOHAR MALKAPPA

KAMBLE MANOHAR MALKAPPA KAMBLE 4786748 170558 112939 1074-21 12-08-2021

231 1164/2021/PUN/PU01 13-07-2021

MANOHAR MALKAPPA

KAMBLE SUJATA KAMBLE 4786748 95258 59542 1075-21 12-08-2021

232 1165/2021/PUN/PU01 13-07-2021 JAYANT DORLE HEMLATA DORLE 5351963 5750 5750 1076-21 12-08-2021

233 1177/2021/PUN/PU01 13-07-2021 BALASAHEB S BHUMKAR BALASAHEB S BHUMKAR 6731566 100000 76635 1078-21 12-08-2021

CGHS, PUNE Page: 11 01-09-2021

Page 12: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

234 1058/2021/PUN/PU01 13-07-2021

ANANDA BABURAO

DESHMUKH ANANDA BABURAO DESHMUKH 5186802 127939 93031 1079-21 12-08-2021

235 1057/2021/PUN/PU01 13-07-2021

RAVINDRA JANARDAN

GHODKE ASHWINI GHODKE 3670560 22874 18342 1080-21 12-08-2021

236 1056/2021/PUN/PU01 13-07-2021

RAVINDRA JANARDAN

GHODKE ASHWINI GHODKE 3670560 148877 121682 1081-21 12-08-2021

237 1157/2021/PUN/PU01 13-07-2021 KISAN DHONDU VIARAGAR KISAN DHONDU VIARAGAR 5093413 52517 12453 1082-21 12-08-2021

238 1162/2021/PUN/PU01 13-07-2021 MANGAL SADASHIV BIDKAR SADASHIV BIDKAR 4602605 115514 49496 1083-21 12-08-2021

239 1206/2021/PUN/PU07 14-07-2021

RAVINDRA SHIVRAM

ABHYANKAR RAVINDRA SHIVRAM ABHYANKAR 2595654 129343 85976 1084-21 12-08-2021

240 1204/2021/PUN/PU07 14-07-2021

RAVINDRA SHIVRAM

ABHYANKAR JAYASHRI ABHYANKAR 2595654 131427 90717 1085-21 12-08-2021

241 1185/2021/PUN/PU05 14-07-2021

RAJENDRA RAMKRISHNA

SHRITATI SUNITA R SHRITATI 7216077 136415 126000 1086-21 12-08-2021

242 1190/2021/PUN/PU05 14-07-2021

RAJENDRA RAMKRISHNA

SHRITATI SUNITA R SHRITATI 7216077 4917 3499 1087-21 12-08-2021

243 1191/2021/PUN/PU05 14-07-2021

RAJENDRA RAMKRISHNA

SHRITATI

RAJENDRA RAMKRISHNA

SHRITATI 7216077 14903 5717 1088-21 12-08-2021

244 1192/2021/PUN/PU05 14-07-2021 PRADEEP KISAN PADALE

LATE KISAN VITHOBA PADALE

CARD HOLDAR 2060261 363000 293003 1089-21 12-08-2021

245 1193/2021/PUN/PU05 14-07-2021 CHHAGAN HIRAMAN PATIL CHHAGAN HIRAMAN PATIL 1252232 78129 46754 1090-21 12-08-2021

246 1189/2021/PUN/PU05 14-07-2021 SURYAKANT KOKATE SURYAKANT KOKATE 2619790 33150 18000 1091-21 12-08-2021

247 1183/2021/PUN/PU05 14-07-2021 SHALINI PAITHANKAR SHAM B PAITHANKAR 1262702 2200 1001 1092-21 12-08-2021

248 1187/2021/PUN/PU05 14-07-2021 ASHOK DADASAHEB SHEJALE ASHOK DADASAHEB SHEJALE 3657421 7598 3619 1093-21 12-08-2021

249 1186/2021/PUN/PU05 14-07-2021 ASHOK DADASAHEB SHEJALE NEELEMA A SHEJALE 3657421 12812 4703 1094-21 12-08-2021

250 1188/2021/PUN/PU05 14-07-2021

MARUTI PIRAJI

BELGAONKAR SMITA M BELGAONKAR 4839067 16698 13557 1095-21 12-08-2021

251 1200/2021/PUN/PU07 14-07-2021

PRABHAKAR SHANKAR

KUMBHAR PRABHAKAR SHANKAR KUMBHAR 4107867 32480 17297 1096-21 12-08-2021

CGHS, PUNE Page: 12 01-09-2021

Page 13: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

252 1199/2021/PUN/PU07 14-07-2021

PRABHAKAR SHANKAR

KUMBHAR PRABHAKAR SHANKAR KUMBHAR 4107867 17072 11379 1097-21 12-08-2021

253 1198/2021/PUN/PU07 14-07-2021

PRABHAKAR SHANKAR

KUMBHAR PRABHAKAR SHANKAR KUMBHAR 4107867 16467 10770 1098-21 12-08-2021

254 1197/2021/PUN/PU07 14-07-2021

PRABHAKAR SHANKAR

KUMBHAR PRABHAKAR SHANKAR KUMBHAR 4107867 18512 11435 1099-21 12-08-2021

255 1196/2021/PUN/PU07 14-07-2021

PRABHAKAR SHANKAR

KUMBHAR PRABHAKAR SHANKAR KUMBHAR 4107867 17849 9501 1100-21 12-08-2021

256 1195/2021/PUN/PU07 14-07-2021

PRABHAKAR SHANKAR

KUMBHAR PRABHAKAR SHANKAR KUMBHAR 4107867 12500 12500 1101-21 12-08-2021

257 1181/2021/PUN/PU06 14-07-2021 CHANDRAKANT BANKAR CHANDRAKANT BANKAR 1843450 48937 21709 1102-21 07-08-2021

258 118/2021/PUN/PU06 14-07-2021

DATTATRAY DAGDU

BAHIRAT DATTATRAY DAGDU BAHIRAT 4660040 9645 6804 1103-21 12-08-2021

259 1380/2021/PUN/PU07 15-07-2021 PREM SHARMA PREM OMPRAKASH SHARMA 2583114 162917 102808 1104-21 12-08-2021

260 1353/2021/PUN/PU08 15-07-2021 SUNIL BENGLE SUNIL BENGLE 4777224 112961 92432 1105-21 12-08-2021

261 BY POST 15-07-2021

PRABHAKAR SHIVRAM

DESHPANDE SHOBHANA P DESHPANDE 3732705 49733 12807 1106-21 12-08-2021

262 1296/2021/PUN/PU08 15-07-2021

SHARDA BASWANT

KALKUNDRI

LATE KALKUNDRI B R CARD

HOLDERPRIVATE 4107867 737210 464125 1107-21 07-08-2021

263 1381/2021/PUN/PU07 15-07-2021

MUNIR JAINUDDIN

GOLANDAJ MUNIR JAINUDDIN GOLANDAJ 3845226 194320 125062 1108-21 12-08-2021

264 1295/2021/PUN/PU08 15-07-2021

DASHARATH TUKARAM

KOLTE DASHARATH TUKARAM KOLTE 4126396 39380 18580 1109-21 12-08-2021

265 1321/2021/PUN/PU08 15-07-2021

RAJEEV PRABHAKAR

KULKARNI RAJEEV PRABHAKAR KULKARNI 7104082 87000 18000 1110-21 12-08-2021

266 1250/2021/PUN/PU08 15-07-2021 THITE SWATI SUDHIR YASHWANT D THITE 5376009 50539 30680 1111-21 19-08-2021

267 477/2021/PUN/PU01 15-07-2021

VINAYAK MURLIDHAR

DESHMUKH VINAYAK MURLIDHAR DESHMUKH 1862512 182730 136830 1111A-21 19-08-2021

268 649/2021/PUN/PU02 15-07-2021

MALHARI SADASHIV

BARATHE MALHARI SADASHIV BARATHE 2736030 33945 24467 1111B-21 19-08-2021

269 1061/2021/PUN/PU02 15-07-2021

MANOHAR CHHABIDAS

PARDESHI USHA 4014929 107450 57038 1111C-21 19-08-2021

CGHS, PUNE Page: 13 01-09-2021

Page 14: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

270 BY POST 18-06-2021

NANDLAL KAIKARAN

SHARMA NANDLAL KAIKARAN SHARMA 4549754 20812 13688 1111D-21 19-08-2021

271 1337/2021/PUN/PU08 15-07-2021

DAREKAR DADABHAU

HARIBHAU DAREKAR DADABHAU HARIBHAU 6919001 48985 43039 1112-21 19-08-2021

272 125/2021/PUN/PU08 15-07-2021

KAJALE ARUN

PANDHARINATH KAJALE ARUN PANDHARINATH 2581490 11005 5272 1113-21 19-08-2021

273 1219/2021/PUN/PU08 15-07-2021 RAMDAS BHAU GHAVATE RAMDAS BHAU GHAVATE 6695426 23360 10546 1114-21 19-08-2021

274 1320/2021/PUN/PU08 15-07-2021 YOGESH PAL

LATE SURENDRA PAL WALMIKI

CARD HOLDER 5947019 13894 11291 1115-21 19-08-2021

275 918/2021/PUN/PU07 01-07-2021 DEEPANSHU PUSHPA 5793174 200 200 1115A-21 26-08-2021

276 919/2021/PUN/PU07 01-07-2021 DEEPANSHU SURESH KUMAR 5793174 200 200 1115B-21 26-08-2021

277 1294/2021/PUN/PU08 15-07-2021 VAISHALI V GOSAVI GOSAVI KEDAR VIJAY 7060182 156000 112676 1116-21 19-08-2021

278 1209/2021/PUN/PU07 15-07-2021

PRABHAKAR VISHWANATH

JOSHI PREMA JOSHI 1857716 195090 112804 1117-21 19-08-2021

279 1055/2021/PUN/PU01 15-07-2021 BALIRAM BORWANKAR VAIJAYANTI BORWANKAR 4457767 11289 7894 1118-21 19-08-2021

280 1054/2021/PUN/PU01 15-07-2021 NANDKUMAR AKULWAR

NANDKUMAR NANDKUMAR

AKULWAR 4876826 38112 38112 1119-21 19-08-2021

281 1062/2021/PUN/PU01 15-07-2021

CHANDRAKANT GANPAT

KALDOKE SEETA KALDOKE 3972122 81030 75078 1120-21 19-08-2021

282 1060/2021/PUN/PU01 15-07-2021

TUKARAM BABURAO

NIRMALE SHOBHA NIRMALE 2076744 220478 89921 1121-21 27-08-2021

283 896/2021/PUN/PU05 15-07-2021

KULANGARA

PADMANABHAN LATE REMADEVI PADMANABHAN 3792079 619918 179223 1121A-21 27-08-2021

284 0 16-07-2021 BANDU GAJANAN SONAR BANDU GAJANAN SONAR 4702110 21219 20044 1122-21 12-08-2021

285 1169/2021/PUN/PU02 16-07-2021 PUSHPA DATTATRAYA OHOL PUSHPA DATTATRAYA OHOL 4183609 39943 12743 1123-21 12-08-2021

286 1213/2021/PUN/PU02 16-07-2021 BALBINDER SINGH BALBINDER SINGH 2711361 41095 41095 1124-21 12-08-2021

287 1203/2021/PUN/PU02 16-07-2021 DEVIDASAN M V USHA DEVIDASAN 3645141 38647 22719 1125-21 12-08-2021

288 1202/2021/PUN/PU02 16-07-2021 DEVIDASAN M V USHA DEVIDASAN 3645141 22806 16937 1126-21 12-08-2021

289 1201/2021/PUN/PU02 16-07-2021 DEVIDASAN M V DEVIDASAN M V 3645141 37344 21154 1127-21 12-08-2021

290 1156/2021/PUN/PU02 16-07-2021

CHANDRAKANT

PANDHARINATH DAGWALE

CHANDRAKANT PANDHARINATH

DAGWALE 5287561 61067 61067 1128-21 12-08-2021

CGHS, PUNE Page: 14 01-09-2021

Page 15: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

291 1166/2021/PUN/PU02 16-07-2021

DWARKA SOMPRAKASH

GALPHADE

DWARKA SOMPRAKASH

GALPHADE 3707190 130000 94806 1129-21 12-08-2021

292 1174/2021/PUN/PU02 16-07-2021

DHARAMJEET SINGH

SARDUL SINGHBANGAR

DHARAMJEET SINGH SARDUL

SINGHBANGAR 6060103 220703 194958 1130-21 12-08-2021

293 1228/2021/PUN/PU02 16-07-2021 PRAKASH DINKAR JADHAV PRAKASH DINKAR JADHAV 6687666 170086 109034 1131-21 12-08-2021

294 1172/2021/PUN/PU02 16-07-2021

DAGDUSAHEB GOVINDRAO

THOMBRE

DAGDUSAHEB GOVINDRAO

THOMBRE 5296471 78422 77371 1132-21 12-08-2021

295 1155/2021/PUN/PU02 16-07-2021 YASHPAL ROHAN TANDON RAKSHA TANDON 1874431 874 700 1133-21 12-08-2021

296 1168/2021/PUN/PU02 16-07-2021

MANGESH VITHALRAO

DHADGE MALANBAI DHADGE 5282339 50631 31809 1134-21 12-08-2021

297 1178/2021/PUN/PU09 16-07-2021 ABDUL ABID ABDUL ABID 7002347 26035 24555 1135-21 12-08-2021

298 1176/2021/PUN/PU09 16-07-2021 EKNATH YADAV DHAKE REKHA DHAKE 5096833 99337 90777 1136-21 12-08-2021

299 1216/2021/PUN/PU01 19-07-2021

RAGHUNATH RAVAJI

BIRHADE RAGHUNATH RAVAJIBIRHADE 3464594 271416 163636 1137-21 12-08-2021

300 1226/2021/PUN/PU01 19-07-2021

RAMCHANDRA BABURAO

ZENDE RAMCHANDRA BABURAO ZENDE 3782084 179245 148143 1138-21 12-08-2021

301 1227/2021/PUN/PU01 19-07-2021 SAVITRA GHOLAP SAVITRA N GOLAP 1235605 81527 71132 1139-21 12-08-2021

302 1221/2021/PUN/PU01 19-07-2021 BHOLE L YEDE CHHAYA B YEDE 6758930 133142 131608 1140-21 12-08-2021

303 1222/2021/PUN/PU01 19-07-2021 KUMAR B JOSHI KUMAR B JOSHI 3734614 48292 30233 1141-21 12-08-2021

304 1224/2021/PUN/PU01 19-07-2021 GULAB EKNATH KATYARE GULAB EKNATH KATYARE 4019725 5805 3858 1142-21 12-08-2021

305 1223/2021/PUN/PU01 19-07-2021 CHARANJEETKAUR K GUGGA CHARANJEETKAUR K GUGGA 7142328 8064 5664 1143-21 12-08-2021

306 1225/2021/PUN/PU01 19-07-2021 E UNNIKRISHNAN E UNNIKRISHNAN 1842055 5330 3305 1144-21 12-08-2021

307 1229-/2021/PUN/PU01 19-07-2021 KIRAN GOPAL CHAVAN

LATE SUMAN G CHAVAN CARD

HOLDER 4805372 247047 165070 1145-21 12-08-2021

308 1244/2021/PUN/PU01 19-07-2021 KIRAN GOPAL CHAVAN

LATE SUMAN G CHAVAN CARD

HOLDER 4805372 24352 13521 1146-21 12-08-2021

309 1241/2021/PUN/PU01 19-07-2021 HERAMB RAJARAM KHOLE HERAMB RAJARAM KHOLE 1849271 10530 10530 1147-21 12-08-2021

310 1242/2021/PUN/PU01 19-07-2021 NEENA CHANDWANI MOHAN G TAHLIANI 986766 55650 49661 1148-21 27-08-2021

311 124/2021/PUN/PU01 19-07-2021

VIJAYKUMAR MAHADEO

TONGALE

VIJAYKUMAR MAHADEO

TONGALE 5473844 3925 3925 1149-21 12-08-2021

CGHS, PUNE Page: 15 01-09-2021

Page 16: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

312 1240/2021/PUN/PU01 19-07-2021 SAVITRA N GOLAP

LATE NARAYANK GOLAP CARD

HOLDER 1235605 250393 238577 1150-21 12-08-2021

313 1245/2021/pun/pu1 19-07-2021 BALASABHEB ZORE BALASABHEB ZORE 5269523 68132 59215 1151-21 19-08-2021

314 1246/2021/PUN/PU01 19-07-2021 BALASABHEB ZORE RATNAMALA B ZORE 5269523 521001 505249 1152-21 19-08-2021

315 1211/2021/PUN/PU07 19-07-2021

SUBHASH MAHADEORAO

KALE MANGALA S KALE 3842115 338401 89179 1153-21 19-08-2021

316 1263/2021/PUN/PU07 19-07-2021 AJIT BALCHANDRA KORDE AJIT BALCHANDRA KORDE 7110797 129108 52411 1154-21 19-08-2021

317 1273/2021/PUN/PU07 19-07-2021 ASHWINI B CHAVAN ASHWINI B CHAVAN 5797536 600 600 1155-21 25-08-2021

318 1276/2021/PUN/PU07 19-07-2021 LATA MAHADEV NAIK LATA MAHADEV NAIK 3275750 64677 64677 1156-21 19-08-2021

319 1276/2021/PUN/PU07 20-07-2021

SUGANDHA LAXMAN

GAIKWAD SUGANDHA LAXMAN GAIKWAD 2406081 1000 555 1156A-21 19-08-2021

320 1409/2021/PUN/PU02 20-07-2021 SHEETAL BHOSALE MANOJKUMAR BHOSALE 3620983 122391 119660 1157-21 25-08-2021

321 1231/2021/PUN/PU02 20-07-2021

VIMAL PRAKASH

KULSHRESTHA MANJU KULSHRWATHA 1822826 2650 1850 1158-21 19-08-2021

322 1230/2021/PUN/PU02 20-07-2021

VIMAL PRAKASH

KULSHRESTHA VIMAL PRAKASH KULSHRESTHA 1822826 2500 1700 1159-21 19-08-2021

323 1205/2021/PUN/PU02 20-07-2021 NOOR MOHEMED RAZIYA KHAN 1856782 129352 109311 1160-21 19-08-2021

324 1212/2021/PUN/PU07 20-07-2021

PRABHAWATI LAXMAN

MORE

LATE KAMAL SUDHIR MORE CARD

HOLDER 1877305 173163 87835 1161-21 19-08-2021

325 BY POST 20-07-2021 VILAS KISAN PATHAK LAXMI PATHAK 2761370 146702 131912 1162-21 19-08-2021

326 1271/2021/PUN/PU07 20-07-2021 SHASHIKANT KULKARNI APARNA KULKARNI 1850898 39377 11723 1163-21 19-08-2021

327 1268/2021/PUN/PU07 20-07-2021 SHASHIKANT KULKARNI APARNA KULKARNI 1850898 8750 5325 1164-21 19-08-2021

328 1315/2021/PUN/PU09 20-07-2021

DIGAMBAR JANARDHAN

RANPISE MUKTABAI RANPISE 1843372 49410 48658 1165-21 19-08-2021

329 1314/2021/PUN/PU09 20-07-2021

SHEWANTA JIJARAM

RAJGURU

LATE JIJARAM B RAJGURU CARD

HOLDER 5134572 369060 271389 1166-21 19-08-2021

330 1266/2021/PUN/PU07 20-07-2021 SHINDE SUBHASH BALWANT USHA SHINDE 3909402 64390 32495 1167-21 19-08-2021

331 1316/2021/PUN/PU09 20-07-2021 HAJIRNIS VIDYA SUBHASH HAJIRNIS VIDYA SUBHASH 4158444 97510 86937 1169-21 19-08-2021

332 1291/2021/PUN/PU02 20-07-2021 NAMDEO KISAN SHELAR NAMDEO KISAN SHELAR 2606521 93157 90105 1170-21 19-08-2021

333 1333/2021/PUN/PU02 20-07-2021 JAVED KHWAJA SAYYED ASMA J SAYYED 6392945 89049 64086 1171-21 19-08-2021

CGHS, PUNE Page: 16 01-09-2021

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S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

334 1336/2021/PUN/PU02 20-07-2021 SHANKAR GENBA GILBILE ASHA GILBILE 4122700 48200 48200 1172-21 19-08-2021

335 1331/2021/PUN/PU02 20-07-2021 ANITA RAMDAYAL SARSAR LATE RAMDAYAL P SARSAR 7045770 376175 213530 1173-21 19-08-2021

336 13329/2021/PUN/PU02 20-07-2021 ANITA RAMDAYAL SARSAR LATE RAMDAYAL P SARSAR 7045770 21873 15592 1174-21 19-08-2021

337 1179/2021/PUN/PU09 20-07-2021 SURESH VASUDEV SARODE SURESH VASUDEV SARODE 6975240 137840 121208 1175-21 19-08-2021

338 BY POST 20-07-2021 PANDIT MORBHAU RASAL PANDIT MORBHAU RASAL 1266669 2528 2130 1176-21 19-08-2021

339 1309/2021/PUN/PU02 20-07-2021

KSHIRSAGAR

DHANYAKUMAR GUNDHAR VANMAMA D KSHIRSAGAR 3913034 110775 90580 1177-21 19-08-2021

340 129/2021/PUN/PU02 20-07-2021 NAMDEO KISAN SHELAR LEELA N SHELAR 2606521 63813 59850 1178-21 19-08-2021

341 1293/2021/PUN/PU02 20-07-2021 SHRIKANT P DEGWEKER ANAMIKA DEGWEKAR 18343685 2395 2395 1179-21 19-08-2021

342 1259/2021/PUN/PU07 20-07-2021

MANJARI MANDAR

DESHPANDE

LATE VIJAYA K SHIKARKHANE

CARD HOLDER 1858410 117199 35514 1180-21 19-08-2021

343 1313/2021/PUN/PU09 20-07-2021 RAFIQUE YUSUF SYED LATE RUKSANA SYED 6929011 480540 354225 1181-21 19-08-2021

344 1312/2021/PUN/PU09 20-07-2021

DIGAMAR JANARDHAN

RANPISE DIGAMAR JANARDHAN RANPISE 1843372 52620 52061 1182-21 19-08-2021

345 1210/2021/PUN/PU09 20-07-2021 MAHADEV BABAN KHOMNE MAHADEV BABAN KHOMNE 6764094 130841 110356 1183-21 19-08-2021

346 1208/2021/PUN/PU09 20-07-2021

SHAIKH FAKIR AHMED

SAIFANSAB MEHMOODA FAKIR AHMED  4147910 3689 3579 1184-21 19-08-2021

347 1207/2021/PUN/PU09 20-07-2021

SHAIKH FAKIR AHMED

SAIFANSAB

SHAIKH FAKIR AHMED

SAIFANSAB 4147908 16024 7287 1185-21 19-08-2021

348 1180/2021/PUN/PU09 20-07-2021 ABDUL ABID MASARRAT A SONGIRKAR  7002347 26035 5707 1186-21 19-08-2021

349 1335/2021/PUN/PU02 20-07-2021 ANANDA SADHU BALLAL SHAKUNTALA A BALLAL 1875957 118989 31340 1187-21 19-08-2021

350 BY POST 20-07-2021

BALMUKUND SHANKARRAO

KULKARNI

BALMUKUND SHANKARRAO

KULKARNI 4434069 3932 3932 1188-21 19-08-2021

351 1334/2021/PUN/PU02 20-07-2021 JAVED K SAYYED ONAIZAJ SAYYED 6392945 262792 178762 1189-21 19-08-2021

352 1175/2021/PUN/PU09 21-07-2021 BORAJU VENKATAYA BORAJU VENKATAYA 5027316 27941 27532 1190-21 19-08-2021

353 1173/2021/PUN/PU09 21-07-2021

JAGANNATH SHANKAR

AMBODKAR

JAGANNATH SHANKAR

AMBODKAR 5288421 103179 103179 1191-21 19-08-2021

354 1171/2021/PUN/PU09 21-07-2021 THORAT MAHADEO WAMAN THORAT MAHADEO WAMAN 6361978 93000 58288 1192-21 19-08-2021

355 1170/2021/PUN/PU09 21-07-2021 EKNATH YADAV DHAKE EKNATH YADAV DHAKE 5096833 47253 47253 1193-21 27-08-2021

CGHS, PUNE Page: 17 01-09-2021

Page 18: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

356 1053/2021/PUN/PU09 21-07-2021 ALKA BHAGWAT ZOPE

LATE BHAGWAT ZOPE CARD

HOLDER 4880932 117324 92507 1194-21 19-08-2021

357 1052/2021/PUN/PU09 21-07-2021 VINOD KUMAR PANDEY VINOD KUMAR PANDEY 6007891 4400 1919 1195-21 19-08-2021

358 1051/2021/PUN/PU09 21-07-2021 VINOD KUMAR PANDEY SMITA PANDEY 6007891 7400 4219 1196-21 19-08-2021

359 1050/2021/PUN/PU09 21-07-2021

ALKA SHASHIKUMAR

BHIRANGE

LATE SHASHIKUMAR BHIRANGE

CARD HOLDER 5417430 519391 446173 1197-21 19-08-2021

360 1036/2021/PUN/PU09 21-07-2021 RAJENDRA KUMAR SHARMA RAJENDRA KUMAR SHARMA 3619288 130368 91668 1198-21 19-08-2021

361 1035/2021/PUN/PU09 21-07-2021 NANDU KISAN BARAVKAR SANGITA BARAVKAR 6849205 143026 50254 1199-21 19-08-2021

362 1032/2021/PUN/PU09 21-07-2021 VIJAYA DILIP BHOSALE VIJAYA DILIP BHOSALE 7122486 59346 58824 1200-21 19-08-2021

363 1029/2021/PUN/PU09 21-07-2021 PRATAP MAHADEO KADAM PRATAP MAHADEO KADAM 4689808 10767 3278 1201-21 27-08-2021

364 1026/2021/PUN/PU09 21-07-2021 KOTWAL RAMDAS SRIPATI KOTWAL RAMDAS SRIPATI 6419674 81706 73838 1202-21 27-08-2021

365 1249/2021/PUN/PU08 22-07-2021 SUMAN HARI RATNAPARKHI SUMAN HARI RATNAPARKHI 4597091 154859 130617 1204-21 27-08-2021

366 1217/2021/PUN/PU08 22-07-2021

KASHIKAR MADHURI

SAKHARAM KASHIKAR MADHURI SAKHARAM 4240800 4000 2285 1205-21 27-08-2021

367 1254/2021/PUN/PU05 22-07-2021 PANDIT SURESH VASANT VARSHA PANDIT 4611046 165798 145994 1206-21 27-08-2021

368 1257/2021/PUN/PU05 22-07-2021 PEERZADE NIYAZAHAMAD PEERZADE NIYAZAHAMAD 6125346 376887 293541 1207-21 27-08-2021

369 1258/2021/PUN/PU05 22-07-2021 PEERZADE NIYAZAHAMAD PEERZADE NIYAZAHAMAD 6125346 55434 51835 1208-21 27-08-2021

370 1260/2021/PUN/PU05 22-07-2021 ANANTA DUNDA TALAPE ANANTA DUNDA TALAPE 4769396 9630 3629 1209-21 27-08-2021

371 1255/2021/PUN/PU05 22-07-2021

THAKUR KIRPAL

MANGRUSINGH LATE JYOTI THAKUR 6953696 101503 43947 1210-21 27-08-2021

372 1261/2021/PUN/PU05 22-07-2021 ANANTA DUNDA TALAPE LEELABAI A TALAPE 4769396 3400 1850 1211-21 27-08-2021

373 1262/2021/PUN/PU05 22-07-2021 ASHWINI ARUN JAGTAP ASHWINI ARUN JAGTA 1237580 110803 65137 1212-21 27-08-2021

374 1286/2021/PUN/PU05 22-07-2021

SUBHAS RUDRAYYA

PASHUPATIMATH SUMANGALA S PASHUPATIMATH 1229519 4100 3800 1213-21 27-08-2021

375 1287/2021/PUN/PU05 22-07-2021

SUBHAS RUDRAYYA

PASHUPATIMATH SUMANGALA S PASHUPATIMATH 1229519 37500 37500 1214-21 27-08-2021

376 1290/2021/PUN/PU05 22-07-2021 DILIP LAXMAN PHATAK

LATE ARUNAA SWAAMI SAMARTH

CRDHLDR 5522726 60306 23104 1216-21 27-08-2021

CGHS, PUNE Page: 18 01-09-2021

Page 19: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

377 1264/2021/PUN/PU05 22-07-2021 NARAYAN SAKHARAM KATE NARAYAN SAKHARAM KATE 1243553 144653 40878 1217-21 27-08-2021

378 1269/2021/PUN/PU05 22-07-2021 KOKATTIL KESAVAN LEELAVATI KESAVAN 1258301 23010 12608 1218-21 27-08-2021

379 1277/202/PUN/PU05 22-07-2021 MORE VIMAL JAIRAM

LATE MORE JAIRAM CARD

HOLDER 3662510 22576 17705 1219-21 27-08-2021

380 1278/2021/PUN/PU05 22-07-2021 MORE VIMAL JAIRAM

LATE MORE JAIRAM CARD

HOLDER 3662510 14629 8103 1220-21 27-08-2021

381 1280/2021/PUN/PU05 22-07-2021 MORE VIMAL JAIRAM MORE VIMAL JAIRAM 3662510 24147 15022 1221-21 27-08-2021

382 1282/2021/PUN/PU05 22-07-2021 RAMESH CHANDRA PAGARE RAMESH CHANDRA PAGARE 1237343 166811 98074 1222-21 27-08-2021

383 1284/2021/PUN/PU05 22-07-2021 JALINDER BABU MANE LATE VIMAL MANE 1271421 184592 141508 1223-21 27-08-2021

384 1307/2021/PUN/PU05 22-07-2021 ANIL N KHATKE SADHANA KHATKE 4763009 3000 2380 1224-21 25-08-2021

385 1308/2021/PUN/PU05 22-07-2021 ANIL N KHATKE SADHANA KHATKE 4763009 3220 895 1225-21 25-08-2021

386 1265/2021/PUN/PU05 22-07-2021

KASHINATH DHONDIBA

KARLE BHAMABAI KARLE 5431007 95536 72672 1226-21 27-08-2021

387 1256/2021/PUN/PU05 22-07-2021 SUBHASH KALAMKAR SUBHASH KALAMKAR 2571933 135988 73503 1227-21 27-08-2021

388 1267/2021/PUN/PU05 22-07-2021 SUBHASH KALAMKAR SWATI KALAMKAR 2571933 135843 72522 1228-21 27-08-2021

389 1285/2021/PUN/PU05 22-07-2021 VINOD DUDHE VINOD DUDHE 1247099 4497 3757 1229-21 27-08-2021

390 1253/2021/PUN/PU05 22-07-2021 PANDIT SURESH VASANT PANDIT SURESH VASANT 4611046 144538 122636 1230-21 27-08-2021

391 1239/2021/PUN/PU08 22-07-2021 MANGALA R CHATUR MANGALA R CHATUR 7022675 35815 26659 1232-21 27-08-2021

392 1119/2021/PUN/PU03 22-07-2021 RUKMINI M YADAV RUKMINI M YADAV 1877317 10454 7299 1233-21 27-08-2021

393 1105/2021/PUN/PU03 22-07-2021 GANAPAT D GAIKWAD SARASWATI GAIKWAD 1838136 137220 88186 1234-21 27-08-2021

394 1107/2021/PUN/PU03 22-07-2021 NARENDRA B CHAVAN NARENDRA B CHAVAN 4538617 39662 30323 1236-21 27-08-2021

395 1247/2021/PUN/PU08 22-07-2021 GAJANAN KAMTHE GAJANAN KAMTHE 4142152 7732 4040 1237-21 27-08-2021

396 1123/2021/PUN/PU08 22-07-2021 PRATIBHA ASHOK BHOSALE

LATE ASHOK BHOSALE CARD

HOLDER 5868850 217771 125321 1238-21 27-08-2021

397 1251/2021/PUN/PU08 22-07-2021 SUMATI BHAGWAN SARJE SUMATI BHAGWAN SARJE 6546161 25704 12896 1239-21 27-08-2021

398 1122/2021/PUN/PU08 22-07-2021 PRATIBHA ASHOK BHOSALE

LATE ASHOK BHOSALE CARD

HOLDER 5868850 16910 7048 1240-21 27-08-2021

399 1106/2021/PUN/PU08 22-07-2021

AMARJA AUDUMBAR

MANDLIK LATE AUDUMBAR MANDLIK 7151058 153650 153650 1241-21 27-08-2021

CGHS, PUNE Page: 19 01-09-2021

Page 20: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

400 1238/2021/PUN/PU08 22-07-2021

BABASAHEB RAMCHANDRA

KULKARNI VASUDHA KULKARNI 4178857 94794 57748 1242-21 27-08-2021

401 1114/2021/PUN/PU03 23-07-2021 SURESH S DABHODE MUNNA DABHODE 4633405 4665 4665 1246-21 27-08-2021

402 1248/2021/PUN/PU08 23-07-2021 VASANT JAYWANT RAUT VASANT JAYWANT RAUT 6884321 84902 69287 1247-21 27-08-2021

403 1304/2021/PUN/PU07 23-07-2021

KANHU SHANKAR

WAGHCHOURE KANHU SHANKAR WAGHCHOURE 4180238 56775 45101 1248-21 27-08-2021

404 1303/2021/PUN/PU07 23-07-2021 GHAG SUNITA GOVIND GHAG SUNITA GOVIND 1855331 55529 47586 1249-21 27-08-2021

405 1297/2021/PUN/PU07 23-07-2021

RAMDAS CHHAGAN

WAGHEL RAMDAS CHHAGAN WAGHEL 1822280 3950 3259 1250-21 27-08-2021

406 1300/2021/PUN/PU07 26-07-2021

RAMDAS CHHAGAN

WAGHEL SARITA R WAGHLE 1822279 5242 4770 1256-21 12-08-2021

407 1299/2021/PUN/PU07 26-07-2021

RAMDAS CHHAGAN

WAGHEL LATE SARITA R WAGHEL 1822280 800 800 1260-21 19-08-2021

408 1407/2021/PUN/PU02 01-08-2021 SHEETAL BHOSALE MANOJ KUMAR BHOSALE 3620983 610736 610736 1311-21 25-08-2021

409 1676/2021/PUN/PU007 04-08-2021 R D PATIL R D PATIL 1805505 1750 1200 1428-21 26-08-2021

410 1717/2021/PUN/PU05 05-08-2021 SHRIKANT KALYANRAO KALE SHWETA KALE 5771172 1300 895 1446-21 26-08-2021

411 1718/2021/PUN/PU05 05-08-2021 SHRIKANT KALYANRAO KALE SHRIKANT KALYANRAO KALE 5771172 600 600 1447-21 26-08-2021

412 1719/2021/PUN/PU05 05-08-2021 SHRIKANT KALYANRAO KALE SHRIKANT KALYANRAO KALE 5771172 1500 1095 1448-21 26-08-2021

413 1720/2021/PUN/PU05 05-08-2021 SHRIKANT KALYANRAO KALE SHWETA KALE 5771172 1500 1095 1449-21 26-08-2021

414 1679/2021/PUN/PU07 05-08-2021 ANKIT KUMAR PUSHPA DEVI 6503746 2730 1139 1450-21 26-08-2021

415 1618/2021/PUN/PU05 06-08-2021 CHANDRABHUSHAN SINGH RAJNARAYAN SINGH 5833998 36810 30296 1476-21 26-08-2021

416 1619/2021/PUN/PU05 06-08-2021 CHANDRABHUSHAN SINGH CHANDRAWATI SINGH 5833998 14300 14300 1477-21 26-08-2021

417 1620/2021/PUN/PU05 06-08-2021 CHANDRABHUSHAN SINGH RAJNARAYAN SINGH 5833998 2000 1700 1478-21 26-08-2021

418 1542/2021/PUN/PU04 10-08-2021 SHIRISHKUMAR B KAMBLE SHIRISHKUMAR B KAMBLE 1822273 8000 5035 1541-21 26-08-2021

419 1543/2021/PUN/PU04 10-08-2021 SHIRISHKUMAR B KAMBLE URMILA S KAMBLE 1822273 5350 3048 1542-21 26-08-2021

420 1656/2021/PUN/PU05 10-08-2021 SHRIKANT K KALE SHWETA S KALE 5771172 1625 1200 1555-21 26-08-2021

421 BY POST 23-08-2021 VASANT AMBEKAR SUMAN AMBEKAR 4271764 35800 9095 1793-21 19-08-2021

CGHS, PUNE Page: 20 01-09-2021

Page 21: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

S No.

MRC Claim number

(generated on-line in WC) of

all claims pending in AD Office

for more than 30 days on last

day of month mentioned in

Table 1 (B)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient

Ben ID of

primary

card holder

/claimant

Amount

Claimed in

INR

Reason for

pendency

If passed,

then amount

in INR

Duration of

pendency in days

(counting from

date of receipt of

claim in AD Office

till date)

0 0

l

0

TABLE 2

STATUS OF CLAIMS PENDING (NOT SENT TO PAO/RETURNED BY PAO) IN AD OFFICE FOR MORE THAN 30 DAYS

AS ON LAST DAY OF MONTH AUGUST 2021

CGHS, PUNE Page: 21 01-09-2021

Page 22: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

CGHS, PUNE Page: 22 01-09-2021

Page 23: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

CGHS, PUNE Page: 23 01-09-2021

Page 24: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

CGHS, PUNE Page: 24 01-09-2021

Page 25: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

CGHS, PUNE Page: 25 01-09-2021

Page 26: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

CGHS, PUNE Page: 26 01-09-2021

Page 27: TABLE 1 Date: 01/09/2021 STATUS OF MRCs PROCESSED AND …

S. NO.

MRC Claim number

(generated on-line in Claim

module) of all claims

processed and sent to PAO in

the month mentioned above

(A)

Date of receipt

of claim in AD

Office

Name of primary card holder/

Claimant Name of patient beneficiary

BENID/

CARD NO

Amount

Claimed in

INR

Amount

passed in

INR BILL NO.

Date when sent to

PAO/Date Settled

CGHS, PUNE Page: 27 01-09-2021