At least three million survivors are still awaiting help two weeks after an earthquake killed at least 51,000 people when it struck the south Asian subcontinent.
A two year-old boy receives medical attention two weeks after he was injured in the Pakistan quake
Pakistani President Pervez Musharraf told the BBC that aid pledged so far was "totally inadequate".
The latest toll, released today by the country's earthquake relief commission, came as UN Secretary-General Kofi Annan called for a greater world response to help quake victims in Pakistan.
Pakistan said the number of injured, now 74,000, could also rise substantially with large areas still not reached.
The situation is so bad that United Nations emergency relief co-ordinator Jan Egeland appealed yesterday to Nato to launch a massive airlift to bring survivors to safety.
The unofficial toll is as high as 79,000, and relief agencies say thousands more in the Himalayas face death from exposure unless they receive aid.
Helicopters are the only means of getting quickly deep into the rugged Himalayan foothills of Pakistani Kashmir and North West Frontier Province where 51,000 people are known to have died, a number expected to rise substantially.
Pakistani President Pervez Musharraf has told India he would accept helicopters -but only if they came without crews given the enormous political sensitivity of the Kashmir issue. However, India refused the request.
Mr Egeland called on the two governments to figure out a compromise fast. "These discussions are now holding up a bigger operation and they shouldn't . . . I would want them to work out a compromise immediately," he said.
The lack of roads means supplies cannot reach survivors in any significant quantities by an aid fleet of fewer than 100 helicopters. Soldiers and villagers are using mules, horses and donkeys - and are even carrying supplies up on their backs.
UN co-ordinator Jesper Lund said international aid agencies planned to send 83,000 tents - "all they have in the world."
"But it's still a drop in the ocean. We need hundreds of thousands - at least 450,000, but that's only a rough estimate."
The UN is also looking at alternative solutions, starting with shelter kits containing plastic sheeting, a saw, bamboo, rope, a shovel and axes, Mr Lund said.
Donor countries have pledged only $86 million so far to a UN appeal for $312 million. "The worry is that when we come to December there will be no more money," Mr Lund said.