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Fisheries department officials said the four men, hailing from Seruthur hamlet, had set out to sea yesterday.
Due to rough seas their boat capsized and they fell into the sea and were struggling for over two hours, they said.
Some other fishermen passing through saw their plight, rescued them and brought them ashore last night, they said
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While three fishermen were treated as outpatients, the other was hospitalised, they said.