Rahat Ali replaced fellow paceman Imran Khan, who missed out after splitting the webbing of his bowling hand in practice.
Trailing 1-0 in the series, England also effected two changes, bringing in Samit Patel and James Taylor. Neither of them has played a test since 2012.
Jonny Bairstow took over keeping duties from a struggling Jos Buttler, who was replaced by Taylor.
Patel's inclusion bolsters the visitors' slow bowling department which also includes Adil Rashid and Moeen Ali.
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Teams:
Pakistan: Mohammad Hafeez, Azhar Ali, Shoaib Malik, Younus Khan, Misbah-ul-Haq (captain), Asad Shafiq, Sarfraz Ahmed, Wahab Riaz, Zulfiqar Babar, Yasir Shah, Rahat Ali
England: Alastair Cook (captain), Moeen Ali, Ian Bell, Joe Root, James Taylor, Jonny Bairstow, Ben Stokes, Samit Patel, Adil Rashid, Stuart Broad, James Anderson
(Reporting by Amlan Chakraborty in New Delhi; editing by Sudipto Ganguly)
