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Non-emergency visits constituted high percentage of emergency presentation. Non-emergency visits constituted high percentage of emergency presentation. Non Alcoholic fatty liver disease (NAFLD) associated with hypertension (HTN) is an emerging health issue globally. It is associated with increased levels of apoptotic marker CK18. Main objective of this study was to explore association of cytokeratin18 (CK18) with hypertension (HTN) in NAFLD patients. Descriptive cross sectional study was conducted in Mayo hospital Lahore. Hundred NAFLD