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English
Franch
Manual Booking
(For Ambulance)
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Car
Return Trip
Pick Up Address
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Drop Address
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Ride Type
Taxi
Car
Ride Time
First Name
*
Last Name
*
Phone Number
*
Whats App Number
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Car
Who Will Pay
For Me
Car
Payment Method
COD
Card
Reason for Ambulance
Patient Transfer
Emergency Care
Funeral Transfer
Standby for Events
Additional Items
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Standard Wheel Chair
Walker
Oxygen Cylinder
Ventilator
Briefly describe the patient’s condition
Booking Source
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