CENTRALIZATOR

initial
CERTIFICATE DE CONCEDIU MEDICAL eliberate

Anexa nr.5
Anexa nr.11 la norme

rectificativ

in luna Noiembrie anul 2013

Unitate sanitara emitenta

CUI

SCM MEDAXI

23087082

CCMAG

0985814

11

2013

08

AM

CCMAG

0985816

11

2013

01

AM

CCMAG

0985818

11

2013

08

AM

CCMAG

0985820

11

2013

08

AM

CCMAG

0985821

11

2013

08

AM

CCMAG

0985824

11

2013

01

AM

CCMAG

0985825

11

2013

01

AM

CCMAG

0985828

11

2013

01

AM

Data
aviz
medic
expert

Cod
Cod
parafa parafa
medic medic
expert
sef
sectie

CAS asiurat

Numar
aviz
medic
expert

Cod parafa medic

medicina muncii

Tip CCM(initial,
continuare)

CNP
asigurat

Cod parafa medic

prescriptor

Cod diagnostic ext

Data
sfarsit
CCM
la ext

Cod diagnostic
amb/int

Data
sfarsit
CCM
amb/int

Data inceput
CCM la ext

Data inceput
CCM amb/int

Data acordarii
(eliberarii)

CASCT
Tip CM
amb/int/ext

Cod indemnizatie

Cod boala infectocontagioasa

Luna An
CCM CCM

Cod urgenta
medic-chirurgicala

Numar CCM
anulat prin
duplicare

Numar
CCM

Numar duplicat

Serie
CCM

incheiata cu CAS
Serie CCM anulat
prin duplicare

Nr.
crt.

Tip
recticare*

Numar conventie

01/11/13 01/11/13 30/11/13

01/11/13 01/11/13 03/11/13
01/11/13 01/11/13 17/11/13

995

2890515102688

A76297

INIT

CASCT

946

1681212131249

A76297

INIT

CASCT

995

2740226283391

A76297

INIT

CASCT

01/11/13 01/11/13 17/11/13

06/11/13 06/11/13 30/11/13
18/11/13 18/11/13 20/11/13

995

2900807134142

A76297

INIT

CASCT

995

2760727211669

A76297

INIT

CASMB

687

1570922131279

A76297

INIT

CASCT

25/11/13 25/11/13 29/11/13

27/11/13 27/11/13 29/11/13

632

1790622372250

A76297

INIT

CASCT

453

2560711131322

A76297

INIT

CASCT

Raspundem de realitatea si
exactitatea datelor
Data 09.12.2014

CNP
copil