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Cot Sales and Ambulance Services Cot sales are increasing due to higher birth rates and increased awareness of baby safety. Many companies are also introducing new models of cots that can be turned into day beds. A consistent and rigorous methodology for the assignment of COT designations is essential to ensure accuracy in government pricing computations. A documented SOP and a thorough auditing process are important. Increase in demand for ambulances The ambulance market in the world is booming as traumatic accidents and chronic illnesses are becom