The calculated distance (air line) between Mitha Tiwana and Dera Ismail Khan is approximately 76 miles respectively 123 kilometers.
By car or train, the actual journey to Dera Ismail Khan is certainly longer, as only the direct route (as the crow flies) between Mitha Tiwana and Dera Ismail Khan has been calculated here.
Air line (approximately)
123 kilometers
66 nautical miles