He is in pain and fear.
I do not see much problem in his accent.
Buddy I know this is not something you want to listen , but trust me I am from Pakistan and Punjab . There is a very distinct accent that we carry . If you don't trust me then just watch any Lahori comedy stage show . Most of our punjabi leaders carry the same accent .
Plus he is not educated and was born a raised in some village . He should be speaking Punjabi , or at least few words of punjabi . How I know , because I have cousins from village and its really hard for them to just talk in Urdu .