through different NGOs from 2005 as PPP model. After Very first PPP model through tendering process in India was started in the Year 2007, Ziqitza Healthcare Limited was operating in Bihar from 2009 to 2019. RTS ambulance was slowly being implemented across the country and in Andhra Pradesh, it was implemented in 4 districts. To expand RTS ambulance service to other districts, Late Chief Minister of Andhra Pradesh Dr. Y.S.Rajasekhara Reddy has signed an MOU to utilize the Central government funds with the help of EMRI in 2007. EMRI has subsequently made similar kind of deal with other states nationwide. The previously existing 102 emergency service is now being used explicitly for pregnancy related emergencies. Scope The Dial-108 service is available in the Indian states of Andhra Pradesh, Assam, Chhattisgarh, Goa, Gujarat, Himachal Pradesh, Haryana, Karnataka, Kerala, Madhya Pradesh, Maharashtra, Meghalaya, Odisha, Punjab, Rajasthan, Tamil Nadu, Telangana, Uttarakhand, Sikkim, Jharkhand, and Uttar Pradesh, and two union territories; Puducherry, Daman and Diu, and Chandigarh. How it works When an emergency is reported, the call taker at the Emergency Response Centre (ERC) gathers the needed information, including location, and dispatches appropriate emergency services; be that an ambulance, police assistance, or a fire engine. Emergency help dispatched through this process is expected to reach the location of the emergency in an average of 18 minutes. Pre-hospital care will be given to patients during transit to hospital. Patients are transported in ambulances well equipped to handle emergency situations. Road and water ambulances are the two types of ambulances commonly used in India to transport patients. Two type of ambulances are Advanced Life support (ALS) and Basic Life support (BLS). Road ambulances are used across all its states. However, only a few states, namely Odisha, Assam, and Gujarat, along with two Union Territories, have been using boat ambulances. Odisha was the first state to launch the boat ambulance by Ziqitza Healthcare Limited (ZHL) for remote areas. At present, there are only three providers: GVK Emergency Management and Research Institute (GVK EMRI), Ziqitza Healthcare Limited (ZHL), and Bharat Vikas Group India-UK Specialist Ambulance Services (BVG-UKSAS) who operate Dial-108 in Emergency in public private partnership with state governments. The service is normally free to patients. In Maharashtra, Jammu, Kashmir, Dial-108, and in JK in addition to Dial-108, Dial-102 ambulance services are being run by BVG India Ltd. Dial-102 service is for pregnant women and child. BVG India