S.

NONWH District Hospital Name 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH

Claim No.

ASTRUST/GNT/2012/P5R3/25271432 ASTRUST/KRS/2012/P5R3/06226090/08 ASINS/PKM/2012/P3R3/08242319 ASTRUST/KRS/2012/P5R3/06264182

ASTRUST/KRS/2012/P5R3/06264182

ASTRUST/GNT/2012/P5R3/25271500 ASINS/PKM/2012/P3R3/08242210

ASTRUST/GNT/2012/P5R3/25269023 ASTRUST/GNT/2012/P5R3/25271608 ASTRUST/GNT/2012/P5R3/25271621 ASTRUST/KRS/2012/P5R3/06264136 ASTRUST/GNT/2012/P5R3/25271570 ASTRUST/GNT/2012/P5R3/25271569 ASTRUST/GNT/2012/P5R3/25271373 ASTRUST/KRS/2012/P5R3/06264136 ASTRUST/GNT/2012/P5R3/25271817 ASTRUST/GNT/2012/P5R3/25267025/01 ASINS/PKM/2012/P3R3/08242328 ASTRUST/WGI/2012/P2R4/05257348 ASINS/PKM/2012/P3R3/08241789 ASTRUST/GNT/2012/P5R3/25268983

ASINS/PKM/2012/P3R3/08242441

ASTRUST/WGI/2012/P2R4/05257407 ASTRUST/GNT/2012/P5R3/25271536

25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR GUNTUR

GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH GGH

ASTRUST/GNT/2012/P5R3/25271815 ASTRUST/GNT/2012/P5R3/25271802 ASTRUST/GNT/2012/P5R3/25271798 ASTRUST/GNT/2012/P5R3/25271799 ASTRUST/GNT/2012/P5R3/25271816 ASTRUST/GNT/2012/P5R3/25271698 ASINS/PKM/2012/P3R3/08242377 ASINS/PKM/2012/P3R3/08242414 ASTRUST/WGI/2012/P2R4/05257444 ASINS/PKM/2012/P3R3/08242084/01 ASTRUST/GNT/2012/P5R3/25271747 ASTRUST/GNT/2012/P5R3/25271699 ASINS/PKM/2012/P3R3/08242379 ASTRUST/GNT/2012/P5R3/25271435 ASINS/PKM/2012/P3R3/08242156 ASINS/PKM/2012/P3R3/08242084 ASTRUST/GNT/2012/P5R3/25270904 ASTRUST/KRS/2012/P5R3/06263483 ASTRUST/GNT/2012/P5R3/25271700

Patient Name VENKATA SUBBARAO YAJALI YELAMARTHI AHRONU ALLADI CHINNAPERAIAH MOHAMMED MEHRUNNISA MOHAMMED MEHRUNNISA SANGEETA RAO CHENNUPALLI GURAVAIAH CHINTHAGUNTLA DHANA KUMAR CHEBROLU ACCHI AKKAMMA SAYYAD SEDA AANAM KASTURI LAKSHMI YAKASIRI LAXMAIAH PUNNA CHALLA MEENAMMA AANAM KASTURI VELUPURI NARASIMHARAO PASALA SLEEVAYYA

Patient Contact No. 9951587539 9502073315 8978243090 9885451869 9885451869 9347303299 8632220035 9701243890 8632220035 7382329972 9966140262 8632220035 9391246632 8632220035 9966140262 9703662505 8500480430 9959536260 7893056771 9949582251 8790782875 8632220035 9912636347 8106784288

WAP NO. WAP075002700600/01 WAP062302400296/01 WAP081800600024/01 WAP0684028A0264/01 WAP0684028A0264/01 WAP072702300170/01 WAP0884005A0089/01 WAP0790016A0242/01 YAP070902600503/02 WAP073700400154/02 WAP061002600047/02 WAP073400600059/02 WAP073403200147/01 WAP074002600169/01 WAP061002600047/02 WAP075707800006/01 WAP072402500314/01 WAP084102300138/01 WAP051001900147/01 WAP081500200305/04 WAP0792009A0110/01 WAP082602700254/01 WAP0581081B0020/02 WAP073401600666/04

Patient District guntur Krishna PRAKASAM Krishna Krishna guntur PRAKASAM guntur guntur guntur Krishna guntur guntur guntur Krishna guntur guntur PRAKASAM WEST GODAVARI PRAKASAM Guntur PRAKASAM WEST GODAVARI guntur

HIMAMSAHEB SHAIK

JONNAKUTI VENKATESWARAO

THIPPABATTINA RAMANA NAGIPOGU ADEMMA DAYANANDAM NUKATOTI GULIPPILLI VARALAXMI SALAVUDDIN SHAIK

MAHALAKSHMI OLETI DASARI RAMAKKOTESWARARAO MALAKONDA REDDY KASANI KAVURI WILSON KESARI SEETAMMA SITHAMMA AMARANENI RAVALI VENNAM PEDASUBBAIAH SUKUMAR KODALI SEETA MAHALAKSHMI CHIMAKURTHY VENKATESWARA REDDY EEDA BETALAM SRINIVASARAO VENKATESWARLU YADAVALLI ROSAIAH BALLA SALMAN JONNALAGADDA SEETA MAHALAKSHMI CHIMAKURTHY MUDDU PAVANI SITA RAMAIAH KALIMIKONDA BONTHA SURESH

99594219960 8632293903 8125842125 9247339896 9392762132 9676780182 8632220035 7702750001 9652314499 9652686202 9492731755 9346030009 8632220035 9959134371 8632220035 9652686202 9603718195 9553530180 9849716535

YAP0789023A0106/01 WAP075303200121/01 WAP070302100192/03 WAP078111800151/01 WAP0781073A0379/02 WAP073908300196/02 WAP0809023A0050/05 WAP081102800500/01 WAP0523138A0093/01 WAP0882024A0175/02 WAP0704024A0273/02 WAP075708800032/01 WAP082003400375/01 WAP072702100055/01 WAP081304200200/01 WAP0882024A0175/02 WAP0729026A0423/03 WAP0626042A0229/01 WAP074601100101/04

guntur guntur guntur guntur guntur guntur Prakasam PRAKASAM WEST GODAVARI PRAKASAM guntur guntur PRAKASAM guntur PRAKASAM PRAKASAM guntur Krishna guntur

Referral Diagnosis Code Route Health Camp Date (Health DIRECT DIRECT PHC DIRECT DIRECT DIRECT PHC DIRECT DIRECT DIRECT DIRECT DIRECT NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL M2.5 M2.5 M2.5 M2.5 M2.5 M2.5 M2.4 M2.5 M6.1

Diagnosis Name 133 Procedure (or) Surgical/Medical Under General TB MENINGITIS TB SPINE TB MENINGITIS TB MENINGITIS TB MENINGITIS TB MENINGITIS CERBRAL MALERIA TB MENINGITIES ACUTE RENAL FAILURE GENERAL GENERAL GENERAL GENERAL GENERAL GENERAL GENERAL GENERAL GENERAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL

M6.1 ACUTE RENAL FAILURE M6.1 GENERAL M6.4 CHRONIC RENAL FAILURE-CRF GENERAL M6.4 CHRONIC RENAL FAILURE-CRF GENERAL M6.4 CHRONIC RENAL FAILURE-CRF GENERAL M6.4 CHRONIC RENAL FAILURE-CRF GENERAL M6.4 CHRONIC RENAL FAILURE-CRF GENERAL M6.4 CHRONIC RENAL FAILURE M6.4 ENERAL G M6.1 ACUTE RENAL FAILURE-ARF GENERAL

HEALTH CAMP 2/3/2012 DIRECT DIRECT DIRECT DIRECT PHC PHC PHC DIRECT PHC DIRECT DIRECT NIL NIL NIL NIL NIL

M6.4 CHRON IC RENAL FAILURE M6.4 ENERAL G

NIL COMPLICATED MALARIA WITH ACUTE RENAL FAILURE M6.1 MEDICAL M6.1 GENERAL NIL NIL NIL NIL NIL RAPIDLY PROGRESSIVE RENAL FAILURE M6.3 M6.3 GENERAL M7.3 HEMORRHAGIC STROKE M7.3GENERAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL

M7.4 CVA WITH LEFT HEMIPERASIS GENERAL M7.3 M7.2 CVA CIDP GENERAL GENERAL

DIRECT DIRECT DIRECT DIRECT DIRECT DIRECT PHC

NIL NIL NIL NIL NIL NIL NIL

CVA WITH LEFT HEMIPARESIS ISCHEMIC STROKE. M7.4 GENERAL CVA WITH LEFT HEMIPLEGIA ISCHEMIC STROKE M7.4 GENERAL M7.1 MYLIETIES,MULTIPLE SCLEROSIS GENERAL M2.5 T B MENINGITIES GENERAL

MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL

CVA WITH RT HEMIPLEGIA ISCHEMIC GENERAL M7.4 STROKE M7.3 M7.1 CVA ADEM GENERAL GENERAL

HEALTH CAMP 6/3/2012 CVA WITH RIGHT HEMIPARESIS HEMORRHAGIC STROKE M7.3 GENERAL PHC PHC DIRECT DIRECT PHC DIRECT PHC PHC DIRECT DIRECT DIRECT NIL NIL NIL NIL M7.3 HEMORRHAGIC STROKE M 7.3GENERAL M7.3 M7.4 M7.3 CVA CVA CVA GENERAL GENERAL GENERAL

NIL WITH RIGHT HEMIPLEGIA WITH HEMORRHAGIC STROKE M7.3 CVA M7.3 GENERAL MEDICAL NIL NIL NIL NIL NIL M7.3 cva GENERAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL

CVA RIGHT HEMIPARESS ISCHEMIC STROKEM7.4 M7.4 M7.4 M7.4 CVA GENERAL

CVA ISCHEMIC STROKE M7.4 GENERAL

M7.8 VIRAL MENINGOENCEPHALITIS ENERAL G

NIL POSION INJECTION REQUIRING VENTILATORY ASSISTANCE M1.7 M1.7 GENERAL MEDICAL

Surgery Done or Not (Yes/No) Remarks NO NO NO NO NO NO NO YES NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL

CATAGIRY GENERAL MEDICINE GENERAL MEDICINE GENERAL MEDICINE GENERAL MEDICINE GENERAL MEDICINE GENERAL MEDICINE GENERAL MEDICINE GENERAL MEDICINE NEPHROLOGY NEPHROLOGY NEPHROLOGY NEPHROLOGY NEPHROLOGY NEPHROLOGY NEPHROLOGY NEPHROLOGY NEPHROLOGY NEPHROLOGY NEPHROLOGY NEPHROLOGY NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY

NO NO NO NO NO NO NO NO NO NO NO NO NO NO YES NO NO NO NO

NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL NIL

NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY NEUROLOGY CRITICAL CARE

133 Procedures Reserved for Government Hospitals

S.NO 2 3 4 16 17 74 117 118 119 120 121 122 CAT-CODE M9 M9 M9 M12 M12 M6 M10 M10 M10 M10 M10 M10 CATEGORY NAME DERMATOLOGY DERMATOLOGY DERMATOLOGY GASTROENTEROLOGY GASTROENTEROLOGY NEPHROLOGY RHEUMATOLOGY RHEUMATOLOGY RHEUMATOLOGY RHEUMATOLOGY RHEUMATOLOGY RHEUMATOLOGY PROCE- CODE M9.1 M9.3 M9.2 M12.9 M12.4 M6.2 M10.1 M10.2 M10.1.2 M10.5 M10.3 M10.4

rved for Government Hospitals

PROCEDURE NAME Pemphigus /Pemphigoid Stevens- Johnson Syndrome Toxic Epidermal Necrolysis Gastric Varices Achalasia Cardia Nephrotic Syndrome Sle (Systemic Lupus Erythematosis) Scleroderma Sle With Sepsis Vasculitis Mctd Mixed Connective Tissue Disorder Primary Sjogren'S Syndrome