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The incident occurred when the victim was crossing the National Highway 66 near Kothal Katte on Friday morning, sources said.
The deceased has been identified as Govinda Poojary (65), a resident of Kelathota in Uliyargoli village.
Govinda Poojary was standing next to the National Highway ready to cross the road when an ambulance travelling from Udupi towards Mangaluru veered to the right and hit him, reports said.
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Due to the impact, the front of the ambulance was completely crushed. However, the ambulance driver Mani suffered minor injuries in the incident.
The patient who was being ferried in the ambulance was rushed to Mangaluru in another ambulance.
A case has been registered at the Kaup police station.