The tragic incident took place while the truck was travelling on Rajkot-Bhavnagar state highway near Ranghola.
Numerous injured were trapped under the twisted wreckage and had to be extracted by villagers and emergency personnel, according to Harshad Patel, the district collector.
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"At least 26 people have been confirmed dead so far", Bhavnagar Superintendent of Police PL Mal told The Indian Express.
Authorities say the truck skidded off an expressway on Tuesday in Gujarat state in western India.
Bhavnagar police's SK Desai said the truck veered off the bridge and fell "about 25 feet" (7.5 metres) into the dry riverbed below.
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The injured have been shifted to Bhavnagar's Sir Takhtsinhji Hospital.
Victims were lifted using a crane by the rescue officials who reached the spot of the accident.
According to latest available government data, 150,785 people died in road accidents in India in 2016, averaging 413 deaths a day.
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Prime Minister Modi said the accident was "extremely unfortunate and anguishing". Mr Rupani announced a financial aid of 4 lakh rupees to the families of the deceased. "May those who have been injured recover at the earliest", said the PM.