The calculated distance (air line) between Khairpur Nathan Shah and Rahim Yar Khan is approximately 182 miles respectively 293 kilometers.
By car or train, the actual journey to Rahim Yar Khan is certainly longer, as only the direct route (as the crow flies) between Khairpur Nathan Shah and Rahim Yar Khan has been calculated here.
Air line (approximately)
293 kilometers
158 nautical miles