This document describes an advanced ambulance monitoring system using IoT. The system allows ambulance drivers and patients' relatives to send requests to hospitals using a mobile app. Hospitals can then monitor patients' conditions and accept requests if doctors, rooms, and medicines are available. The system aims to reduce travel time between ambulances and hospitals to save lives. It uses sensors like an ADXL sensor and PIC microcontroller and communicates over the internet using an IoT protocol. The system architecture includes sensors that monitor patients' vital signs in ambulances and transmit the data to hospitals for remote monitoring.