SHE was only born eight days ago.
But Nada Mir-Afzal's life will follow a pre-determined path to misery unless she gets help soon.
Her lips and the roof of her mouth failed to fuse together properly. A bulbous pocket of skin juts out from underneath her nostril, next to a gaping hole under her nose. It's bleeding.
Without medical intervention, Nada is likely to become malnourished because of the difficulty she will face feeding. Babies born with cleft lips and palates suck in more air than babies with normal development, meaning they feel full quicker when, in reality, their stomachs are not full.
They also have to work twice as hard as other babies to get milk from their mother as there is huge potential for leakage. They tire quicker and often fall asleep before finishing a proper feed, with their mothers believing their infants are satisfied.

At the Cleft Hospital, new parents are shown a training video to show them how to feed their children properly, sitting them as upright as possible rather than the more familiar reclined position. They can be provided with specialist feeding cups, bottles and spoons. 
But with such a severe problem, it's likely Nada will need far more intensive intervention from the team of surgeons from UK charity Opsa, who donate their services to travel to Gujrat twice a year to operate on as many children as possible.
With 10,000 children born with cleft lips and palates in Pakistan every year, it is a problem which will never for away and is highly unlikely the surgeons would ever get in a position of managing the waiting list. Demand will always outstrip the number of  willing hands to carry out the work. Nada and her grandmother are given an appointment to return to the clinic in a few weeks so treatment can begin.

Dr Bashir said: "We usually wait until the children are a bit older but we have had people bringing in babies who are just one or two days old because they are so desperate for help."