Foreign students come from, Somalia, Palestine, Yemen, Sudan, Libya, Eithopia, Sri Lanka, Nepal, Bhutan. The class size is huge, but doesn't affect learning if you are keen to learn. In clinical years (3rd, 4th, and Final Year) the class is split into batches. Each batch has 20-30 students. Overall, Nishtar is a great college. Pakistan first medical college that the Pakistani government commissioned. A lot of planning went into making the college and the hospital. The hospital is huge, capacity of 1800 beds. Medicine and Surgical wards are always over capacity. There are tremendous learning opportunities as a student and as an intern. The hospital is famous for its Medicine specialty. Surgery is in my opinion not that great.