Renewed my licence recently, maybe there are some difference in ITP but here in Karachi for new Licence following is in the test/steps.
1) Get driving licence form
2) Fill it and put tickets and medical fee receipt + two photos on it.
3) TEST; Parallel Parking test
4) TEST; Road sign test (you buy a book of road signs and they test you)
5) TEST; Eye test
6) Get you picture taken
7) Receive Driving licence a day after.
PS: If you FAIL the test you are told to comeback after 30 days I think (maybe now its 7days, dont know for sure)
And if you wish to take the hassle free route is as easy as 123, literally!
1) Take Copy of CNIC, 2 photos & Qaid-e-Azam to Agent
2) Get photo taken
3) Get driving licence a day after