Yes, it is possible to get a UK student visa from Nepal without taking the IELTS test. The UK government accepts alternative qualifications and tests to demonstrate English language proficiency for visa purposes. Some of the accepted alternatives include:

Other English language tests: Apart from IELTS, the UK government accepts other recognized English language tests such as the Pearson Test of English (PTE) Academic and the TOEFL iBT.

Medium of instruction: If you have completed your previous education in English as the primary language of instruction in a country where English is the official language, you may be exempt from taking an English language test. This exemption usually applies to certain English-speaking countries, such as the United States, Canada, Australia, and others.

Academic qualifications: If you have obtained a specific academic qualification that is considered equivalent to a UK degree, and the qualification was taught in English, you may be exempt from the English language test requirement. This exemption varies depending on the specific qualifications and institutions.

It’s important to note that the specific requirements and exemptions can vary depending on the educational institution and the level of study. It is recommended to check the requirements of the institution you are applying to or consult with the official UK government website or the British Embassy in Nepal for the most up-to-date and accurate information regarding the English language requirements for a student visa application without IELTS from Nepal.