An attack on a prison in the northwestern city of Dera Ismail Khan began with a huge explosion at around midnight on Monday.
Gunmen then opened fire with rocket-propelled grenades and machine guns, police chief Khalid Sohail said.
Hundreds of prison home of the Taliban and the terrorist group that was not allowed.
Some of the attackers - are expected to amount to 70 - were dressed in police uniforms.
Twelve people - including six policemen - were killed in a gun battle that raged for three or four hours after they launched their attack.
Civil City Commissioner Mushtaq Jadoon said 243 prisoners escaped, including 30 militants solid jailed for their involvement in the attack or suicide bombing.
Attackers use loudhailers to call the names of their friends in prison, Mr Jadoon said.
Fourteen refugees who were later arrested by the police, he said. Curfew has now been imposed in Dera Ismail Khan as Police hunt escaped prisoner left. But correspondents say this will be a difficult task.
Catherine Houreld correspondent for Reuters news agency, the BBC said it used to be. "The attack is very complex - they blew the power lines as they breach the wall, they set ambushes and reinforcements".
Mr Jadoon told a local television station that 14 explosive devices were planted in the prison have been solved so far.
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