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Radha Yadav was the most successful India bowler returning figures of 2 for 21 in her four overs.
Deepti Sharma got India the first break when Javeria Khan (8) went for a sweep only to hand a top edge to Harmanpreet Kaur.
Radha got rid of the other dangerous opener Muneeba Ali for 12 to reduce Pakistan to 42/2. The India spinner saw the Pakistani wicketkeeper-batter coming down the track and fired an arm ball outside off. Muneeba swiped but missed and Richa Ghosh whipped the bails off.
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Earlier, Pakistan won the toss and elected to bat.
The Harmanpreet Kaur-led India brought in Harleen Deol in place of Smriti Mandhana, who is out of the opening match after suffering a finger injury during a warm-up game against Australia.
Brief scores: Pakistan Women: 149 for 4 in 20 overs (Bismah Maroof 68 not out, Ayesha Naseem 43 not out; Radha Yadav 2/21).