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The deceased have been identified as P Sivakumar and his sons Sarath (23) and Saurav (15) from Thrissur district, according to the police.
The accident occurred around 11 am, resulting in the car being severely mangled. Rescuers had to break the car to extricate the victims.
In addition to the deaths, three persons in the ambulance – Usha and Sivadas, and its driver-, sustained injuries in the accident.
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The collision happened when Usha, who had been injured in a car accident in Chattanchal the previous day, was being shifted from a hospital in Kasaragod to a specialist facility in Mangaluru.