The Water and Sanitation Agency (WASA) of Lahore, Pakistan, supplies water to 5.29 million people through 598 tube wells but faces difficulties in meeting rapidly increasing water demand, lowering groundwater table, high energy costs, and low water tariffs. However, the actual water consumption and water loss have never been estimated due to water meter outages. This study aimed to estimate the actual water consumption, production, and water losses for the WASA Lahore service area, using the limited number of working water meters and pump operation data. The actual water consumption was estimated by 14,030 working customer meters; the population census was 44.02 m3 per connection per month, or 200 L per capita per day, while the water production was 79.8 m3 per connection. The actual water loss was significantly higher than non-revenue water, with an average of 45.4% (ranging from 35.9–69.4%). Due to high electricity costs, WASA has had to cut their supply hours. Therefore, leakage reduction programs must be implemented in the high-water-loss townships found in this study in order to meet the increasing water demand, reduce electricity consumption, and alleviate groundwater table drawdown.