6 March 2024 09:45 am
Twenty-two children were among the fatalities, many of whom were crushed in landslides that buried their homes, disaster management authorities said.
The extreme weather hit Pakistan's northern and western regions, clogging roads and damaging hundreds of houses.
Experts were surprised by the snow as Pakistan is typically mild in March.
Mushtaq Ali Shah, a former director of the country's meteorological department, attributed the unusual conditions to climate change.
He added that a light hail storm that lasts "for a few moments" would not be as surprising, but it is unusual for that to continue for over 30 minutes.
According to BBC Meteorologist Chris Fawkes, a westerly disturbance has been moving across Afghanistan, Pakistan and north-west India over recent days bringing extreme cold, heavy snow and torrential rain.
Hajit Shah, a resident of Kirk district in the north-western Khyber Pakhtunkhwa province, said that he had experienced snow in his neighbourhood only once before.
"As far as I can remember, there was light snowfall for a few minutes about 25 or 30 years ago," he told the BBC.
The heavy rains completely destroyed at least 150 houses and partially damaged 500 others, mostly in Khyber Pakhtunkhwa and the south-western Balochistan province, authorities said.
Electricity has been completely cut off in some districts for several days.
Khyber Pakhtunkhwa's provincial government has provided relief supplies to affected areas and announced financial assistance for the injured and the families of those who died.
Pakistan's meteorological department said in its weekly forecast that "mainly cold and dry weather" is expected in most parts of the country for the rest of this week, although some parts of Balochistan and Kashmir should expect to see "snowfall over hills".