Abstract: to study the functioning of 108 services in medical emergencies in district hospital, Hassan Institute of Medical Sciences, Hassan, South India. Methodology: a cross-sectional study was conducted at district hospital, HIMS, Hassan. The study was from 15 June 2011 to 15 August 2011. By convient sampling 150 people were included in the study. Data analysis was done by using Microsoft Excel 2007 version and proportions. Results: In present study it was seen that 72.7% of study subject were aware about 108 services. 87% were dialled 108 ambulance for medical purpose. 62% were aware about facilities available inside the ambulance. 98% were satisfied about 108 ambulance services. Conclusion: Inspite of the medical facilities available inside the 108 ambulance, it became only means of transport for the common man to the district hospital.