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A stampede that occurred outside a temple in Central India has left 115 people dead.

The pilgrims visiting Ratangarh village temple in Madhya Pradesh state for a popular Hindu festival in India stampeded on fears a bridge would collapse, and at least 109 people were crushed to death or died in the river below, officials said Monday.

Up to 400,000 devotees were already inside or around the temple when the stampede took place while there were around 20,000 people on the bridge which spans the river Sindh.

India Temple Stampede

Scores more were injured, and some bodies may have washed away.

“The death toll could go much higher as about 25,000 people were present on the bridge at that time,” said D.K. Arya, a local deputy police inspector.