She is Selena Dohal, 8, and her skull was fractured when a massive earthquake shook her neighborhood, two and a half hours from the Nepalese capital, to the ground on Saturday.
Blood has collected on top of her brain, in the right frontal area, and she urgently needs surgery to remove the clots.
"She went to get some water, and a house collapsed on her head," her grandfather Ram Prasad Duhal tells a doctor.
Her grandfather has accompanied Selena to the capital from Panchhkal while her parents take care of her injured brother, who has fractures to both legs.
The girl has received some treatment at another hospital but has been brought to Bir in the hopes her life can be saved.