Every year, thousands of families across Sindh reach for their phone in the worst moment of their lives and dial four digits instead of a private car service. The Free Emergency Ambulance Service in Sindh – SIEHS 1122 exists for exactly that moment. Run by the Sindh Integrated Emergency & Health Services (SIEHS), it gives every district trained EMTs (Emergency Medical Technicians) and a 24/7 emergency ambulance response, at no cost to the patient. This guide covers when to call, what to say, and what happens once the ambulance is on its way.
SIEHS is a Section 42 not-for-profit organisation backed by the Government of Sindh, delivering emergency health services in Sindh beyond hospital walls. The ambulance wing is ISO 9001:2015 certified, which means its dispatch, care, and training procedures are independently audited against an international quality standard, not just an internal claim. SIEHS’s Department of Research, Development & Education (DRDE) has trained more than 6,600 emergency medical technicians and first responders, and its fleet operates from 38 stations across the province.
SIEHS also adapts its fleet to terrain, not just volume. Standard ambulances, branded “HOPE,” cover highways and district roads, while a dedicated bike ambulance unit reaches patients in congested inner-city lanes where a full-size vehicle cannot get through in time. This kind of route-specific deployment is part of why coverage figures translate into actual response, not just fleet count on paper.
The SIEHS 1122 Emergency Ambulance Service is a free pre-hospital ambulance network covering all 30 districts of Sindh, from Karachi to Kashmore, with a fleet of more than 627 ambulances. Each vehicle carries advanced life-support systems and is staffed by trained frontliners who deliver rapid pre-hospital medical care rather than waiting for the patient to reach a hospital. The World Health Organization notes that pre-hospital and emergency care can address more than half of preventable deaths in lower-resource settings; early, trained intervention genuinely changes outcomes, not just transport time.
Call 1122 for any illness or injury that could threaten life. This includes:
Do not wait to arrange private transport first. In time-sensitive cases, that delay is often the difference the outcome hinges on.
A call handler will ask a short set of questions to locate you and understand the emergency. Give clear, direct answers:
Once the ambulance is dispatched, keep your phone reachable and send someone outside to flag the crew down; this matters most on narrow streets or in areas without clear addresses.
Frontliners begin care at the scene, not after arrival. Depending on the emergency, this can include monitoring vital signs, controlling bleeding, supporting breathing, immobilising an injury, or managing shock. The crew also relays a preliminary diagnosis and vital details to the receiving facility during patient transport, so the hospital can prepare before the ambulance arrives.
An incomplete address is the most common delay; use a landmark, street name, or nearby public building rather than a vague area name. Crowds gathering around the patient can block the crew’s access, so give them space and keep the route clear. Do not move a badly injured person unless there is immediate danger such as fire or oncoming traffic; unnecessary movement can worsen spinal or internal injuries. Never give food, water, or medicine to someone who is unconscious; check breathing and follow the call handler’s instructions instead.
SIEHS 1122 is not limited to the largest cities. Alongside ambulance service Karachi and emergency ambulance Hyderabad, the network reaches Sukkur, Larkana, Mirpurkhas, Tharparkar, Nawabshah, and Dadu, with stations positioned along major highways and district headquarters so that rural and coastal communities are not left without cover. This district-by-district reach is what makes free ambulance Sindh a genuinely province-wide service rather than a city-only one.
The free ambulance service in Sindh run by SIEHS 1122 brings trained EMTs, life-support equipment, and a genuine 24/7 emergency ambulance response to every district in the province — at no cost to the patient. Save 1122 in your phone, share it with your household, and know the difference between 1122 and 1123 before you need either one.
Dial 1122 for any medical emergency in Sindh. It connects you to SIEHS’s free, 24/7 ambulance dispatch, covering all 30 districts.
Yes. There is no fee, no insurance requirement, and no paperwork before dispatch. The service is funded by the Government of Sindh and delivered by SIEHS as a not-for-profit operator.
Response time depends on your location and the nearest available ambulance, but SIEHS operates 38 stations across Sindh specifically to keep dispatch times short on major routes and in population centres.
Call handlers ask questions to assess urgency, but a full assessment and any preliminary diagnosis happen once paramedics reach the patient, not before.
1122 dispatches an ambulance for emergencies. 1123 (Tele-Tabeeb) is a free telemedicine line for medical advice and mental health support that does not require patient transport.
Does SIEHS-1122 cover rural areas, or just Karachi and Hyderabad?
All 30 districts, not just the major cities. Beyond Karachi and Hyderabad, the network reaches Sukkur, Larkana, Mirpurkhas, Tharparkar, Nawabshah, Dadu, and other districts, with 38 stations positioned along highways and district headquarters to cover rural and coastal areas as well.
How is SIEHS-1122 able to offer a free ambulance service?
SIEHS is a Section 42 not-for-profit organisation funded by the Government of Sindh. Because the ambulance wing operates as a public service rather than a commercial one, there is no fee charged to the patient at any point.
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