At least 19 were injured.
The gunmen in Quetta, the capital of Baluchistan province long plagued by sectarian violence, were holed up in the emergency ward of a hospital, engulfed in a firefight pitting militants against the security forces.
Television footage showed security forces surrounding the Bolan Medical Complex and a helicopter hovering overhead.
The attack in resource-rich Baluchistan was Pakistan's most lethal since the government of Prime Minister Nawaz Sharif took office last week.
Baluchistan, with large copper and gold deposits, is a vast province bordering Iran and Afghanistan. As well as sectarian violence, it has suffered a long-running armed independence movement, and what rights groups call a campaign of forced disappearances by security forces.
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