108 is the toll free number for an initiative called emergency management and research institute. It was launched by Satyam Ramalingaraju and family in 2005 in Hyderabad. The existing independent emergency services (100 for police, 101 for fire and 102 for ambulance)  worked erratically and independently of each other. Ramalingaraju wanted to integrate these services and launched 108 to provide quicker response for the emergencies. Apart from Ramalingaraju , G Venkata Krishna Reddy was the major contributor for implementing these services . Dr. A.P. Ranga Rao, has designed 108 EMRI service.  In parallel to 108, Central government funded  "Referential Transport System" was initiated under National Rural Health Mission. In Andhra pradesh Referential Transport system was supported through different NGOs from 2005 as PPP model. After Very first PPP model through tendering process in India was started in the Year 2007, Ziqitza Healthcare Limited was operating in Bihar from 2009 to 2019. RTS ambulance was slowly being implemented across the country  and in Andhra Pradesh , it was implemented in 4 districts.  To expand RTS ambulance service to other districts,  Late Chief Minister of Andhra Pradesh Dr. Y.S.Rajasekhara Reddy has signed an MOU to utilize the Central government funds with the help of EMRI in 2007. EMRI has subsequently made similar kind of deal with other states nationwide. The previously existing 102 emergency service is now being used explicitly for pregnancy related emergencies.