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Edit Case Details

                  
                        Case Number
                        
Zone
                          
                        Claim Number
                        
                        Claim Amount
                        
Manager Name
                          
Channel Partner 
                          
                        Patient Name
                        
                        Patient Phone
                        
                        Complainant Name
                        
                        Complainant Phone
                        
Insurance Company Name
                          
Case of:
                            
                        PF amount
                        
                        Consultation charge (%)
                        
                        Cheque Amount
                        
                        Cheque Number
                        
                        Case Rejection Reason
                        
                        Manual Gist
                        
Claim Type
                            
                          Policy Number
                          
                          Date of Policy Inception
                          
                          Hospital Name
                          
                          Date of Admission
                          
                          Date of Discharge
                          
                          Diagnosis
                          
                          Patient complain
                          
                          Rejection Reason
                          
                          Rejection date
                          
                          Gist Comments
                          
                          Email ID
                          
                          Email Password
                          
                          Online BHP Number
                          
                          Registration Date
                          
                          Annexure 5 Number
                          
                          Annexure 5 Reply Date
                          
                          Lokpal Complaint Number
                          
                          Annexure 6 Reply Date
                          
                          Hearing Date
                          
                          Operation Officer
                          
                          Medical Officer
                          
                          Final Case Status
                          
                          Settlement Amount
                          
                            Amount Received by Nidaan
                            
                          Amount Received Date
                                             
                          CP Amount
                            
                          Amount received by CP
                          
                          CP Amount Received Date
                                             
                          Customer Amount Received Date
                                             
                          Amount received by Customer
                          
Draft
                        
Lokpal Draft