State Highway 12 originates at the pilgrim town of Ambalapuzha and runs south-eastwards through Karumadi, Thakazhy, Paccha and Edattuva to enter Pathanamthitta District beyond Anaparambil.
The Christian pilgrim center of Parumala comes first along the State Highway 12 in Pathanamthitta District. Thiruvalla is just 11 km away where the SH 12 terminates on the M C Road.