Mud houses were flattened or damaged as survivors crouched outside for safety, as the sirens of emergency vehicles wailed.
The quake was felt as far away as India's capital New Delhi, nearly 500 km from the epicentre, 42 km south of Jumla.
At least 119 people were killed in an overnight earthquake that struck a remote pocket of Nepal, officials said Saturday, as security forces deployed to assist with a frantic rescue effort.
The 5.6-magnitude quake hit the far west of the Himalayan country late Friday and was measured by the US Geological Survey at just 18 kilometres (11 miles) deep.
