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ETD Pre Hospital Care and Ambulance (PHC) - Ambulance Information

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AMBULANCE INFORMATION

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Call Card No

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Date Call Received

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Complaint

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Plate No

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Remarks

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Address

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Landmark

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Event Code

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Process Time

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Distance To Hospital

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Response Team

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Process Time

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Activation

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Depart to Scene

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Arrive to Scene

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Arrive to Patient

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Depart from Scene

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Arrive at Hospital

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SIGNATURES

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AMBULANCE INFORMATION
SIGNATURES