The Ghaghara River, called Karnali River in Nepal, Mapcha Tsangpo in Tibet, and the lower Ghaghara in Awadh called Sarayu River, is a perennial trans-boundary river that originates in the northern slopes of the Himalayas in the Tibetan Plateau, cuts through the Himalayas in Nepal and joins the Sharda River at Brahmaghat in India. Wikipedia