Desun

Total Completed

20

Total Incomplete

10

Not Yet Started

5

Total Admission

50

Search Patient

Total Discharged

50

Extension Alarm

20

Intimation Pending

20

Episode ID: IPA4012132

Monojit Halder

Hospital

Desun Hospital & Heart Institute

Dependent

Yes

Beneficiary

Current status

Proceed for payment (by ESIC)

Payer

ESIC SST - Kolkata

Admission date

15-Jun-2025 00:26

Bed no.

6001, ICU

Tentative discharge date

18-Jun-2025 10:16

Actual discharge date

18-Jun-2025 10:16

Patient history

2nd Extension

Extension period: 27 Dec 2025 - 06 Jan 2026

Extension eligible: No

Event	Time stamp	Person	Remarks
Document approval alarm	24 Dec 2025, 11:45am	System
Document preparation	25 Dec 2025, 10:12am	Mohit Shukla	Incomplete documentation

1st Extension

Extension period: 16 Dec 2025 - 26 Dec 2025

Extension eligible: Yes

Event	Time stamp	Person	Remarks
Extension approval alarm	13 Dec 2025, 11:45am	System
Extension preparation	14 Dec 2025, 10:12am	Mohit Shukla	Extension preparation initiated
Extension submission	15 Dec 2025, 11:12am	Mohit Shukla	Extension submitted in portal
Extension received	16 Dec 2025, 08:00am	Mohit Shukla	Extension received

2nd Medicine

Medicine name: Paracetamol

MRP: ₹100

Eligible approval: No

Event	Time stamp	Person	Remarks
Document preparation	25 Dec 2025, 10:12am	Mohit Shukla	Incomplete documentation

1st Medicine

Medicine name: Paracetamol

MRP: ₹100

Eligible approval: Yes

Event	Time stamp	Person	Remarks
Document preparation	14 Dec 2025, 10:12am	Mohit Shukla	Document preparation initiated
Document submission	15 Dec 2025, 11:12am	Mohit Shukla	Document submitted in portal
Document received	16 Dec 2025, 08:00am	Mohit Shukla	Document received

2nd Procedure

Procedure name: LAPCHOL

Eligible approval: No

Event	Time stamp	Person	Remarks
Document preparation	25 Dec 2025, 10:12am	Mohit Shukla	Incomplete documentation

1st Procedure

Procedure name: LAPCHOL

Eligible approval: Yes

Event	Time stamp	Person	Remarks
Document preparation	14 Dec 2025, 10:12am	Mohit Shukla	Document preparation initiated
Document submission	15 Dec 2025, 11:12am	Mohit Shukla	Document submitted in portal
Document received	16 Dec 2025, 08:00am	Mohit Shukla	Document received

1st Implant

Implant name: Knee implant

Eligible approval: No

Event	Time stamp	Person	Remarks
Document preparation	25 Dec 2025, 10:12am	Mohit Shukla	Incomplete documentation

1st Surgery

Surgery name: knee arthroplasty

Eligible approval: No

Event	Time stamp	Person	Remarks
Document preparation	25 Dec 2025, 10:12am	Mohit Shukla	Incomplete documentation

Event	Time stamp	Person	Remarks
Intimation alarm	23 Dec 2025, 11:00am	System
Intimation sent	24 Dec 2025, 11:45am	Mohit Shukla
Intimation acknowledged	25 Dec 2025, 10:12am	Mohit Shukla	Intimation acknowledged

2nd Extension

Extension period: 27 Dec 2025 - 06 Jan 2026

Extension eligible: No

Event	Time stamp	Person	Remarks
Document approval alarm	24 Dec 2025, 11:45am	System
Document preparation	25 Dec 2025, 10:12am	Mohit Shukla	Incomplete documentation

1st Extension

Extension period: 16 Dec 2025 - 26 Dec 2025

Extension eligible: Yes

Event	Time stamp	Person	Remarks
Document approval alarm	13 Dec 2025, 11:45am	System
Document preparation	14 Dec 2025, 10:12am	Mohit Shukla	Document preparation initiated
Document submission	15 Dec 2025, 11:12am	Mohit Shukla	Document submitted in portal
Document received	16 Dec 2025, 08:00am	Mohit Shukla	Document received

2nd Medicine

Medicine name: Paracetamol

MRP: ₹100

Eligible approval: No

Event	Time stamp	Person	Remarks
Document preparation	25 Dec 2025, 10:12am	Mohit Shukla	Incomplete documentation

1st Medicine

Medicine name: Paracetamol

MRP: ₹100

Eligible approval: Yes

Event	Time stamp	Person	Remarks
Document preparation	14 Dec 2025, 10:12am	Mohit Shukla	Document preparation initiated
Document submission	15 Dec 2025, 11:12am	Mohit Shukla	Document submitted in portal
Document received	16 Dec 2025, 08:00am	Mohit Shukla	Document received

2nd Medicine

Medicine name: Paracetamol

MRP: ₹100

Eligible approval: No

Event	Time stamp	Person	Remarks
Document preparation	25 Dec 2025, 10:12am	Mohit Shukla	Incomplete documentation

1st Medicine

Medicine name: Paracetamol

MRP: ₹100

Eligible approval: Yes

Event	Time stamp	Person	Remarks
Document preparation	14 Dec 2025, 10:12am	Mohit Shukla	Document preparation initiated
Document submission	15 Dec 2025, 11:12am	Mohit Shukla	Document submitted in portal
Document received	16 Dec 2025, 08:00am	Mohit Shukla	Document received

2nd Procedure

Procedure name: LAPCHOL

Eligible approval: No

Event	Time stamp	Person	Remarks
Document preparation	25 Dec 2025, 10:12am	Mohit Shukla	Incomplete documentation

1st Procedure

Procedure name: LAPCHOL

Eligible approval: Yes

Event	Time stamp	Person	Remarks
Document preparation	14 Dec 2025, 10:12am	Mohit Shukla	Document preparation initiated
Document submission	15 Dec 2025, 11:12am	Mohit Shukla	Document submitted in portal
Document received	16 Dec 2025, 08:00am	Mohit Shukla	Document received

1st Implant

Implant name: Knee implant

Eligible approval: No

Event	Time stamp	Person	Remarks
Document preparation	25 Dec 2025, 10:12am	Mohit Shukla	Incomplete documentation

1st Surgery

Surgery name: knee arthroplasty

Eligible approval: No

Event	Time stamp	Person	Remarks
Document preparation	25 Dec 2025, 10:12am	Mohit Shukla	Incomplete documentation

Payer group

Personal

Referal letter

Yes

Entitlement Certificate

Yes

E-Pahechan Card

Yes

4 Copy Photo

Admission

Admission To Be Made Under Same Department Doctor Matching With The Referral Or Emergency Paper Of Esic

Patient Name and ID No Should Matched within all Respective Documents

Patient Signature Or Thumb Impression On Left Side Of Front Page Of Referral Letter

Beneficiary Signature Exactly Matching With E-Pehechan Card (In Box) On Right Side Of Front Page Of Referral Letter

Referral Letter'S Issue And Validity Should Be In Sync With Treatment Date

Pharmacy

No Objection Certificate Of Patient Party - To Be Filled Properly

Case Summary/Progress Report Of Esic Dispensary, If Available

Billing

E-Pehechan Card: Family Photo With Patient'S Photo Marked, Stamped And Signed

E-Pehechan Card Should Have Stamp And Signature Of Employer

Admission 30min late

Day 1

Day 2

Day 3

Discharge On time

Episode Id	Patient Name	Payer Name	Admission Date Time	Status
IPA4013232	Subhas Chandra Senapati	ESIC-Joka	Dec 4, 2025, 2:26:13PM	Open
IPA4013252	Prithwish	ESIC - MANICKTALA (SST)	Dec 5, 2025, 12:29:37AM	Open

Episode Id	Patient Name	Payer Name	Admission Date Time	Status
IPA4013232	Subhas Chandra Senapati	ESIC-Joka	Dec 4, 2025, 2:26:13PM	Pending followup
IPA4013252	Prithwish	ESIC - MANICKTALA (SST)	Dec 5, 2025, 12:29:37AM	Pending followup

Episode Id	Patient Name	Payer Name	Admission Date Time	Status
IPA4013232	Subhas Chandra Senapati	ESIC-Joka	Dec 4, 2025, 2:26:13PM	Admitted & open
IPA4013252	Prithwish	ESIC - MANICKTALA (SST)	Dec 5, 2025, 12:29:37AM	Admitted & open