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Opting to bat, India were under pressure after opener Shafali Verma was dismissed for a duck.
A 92-run stand between Mandhana (52 off 75) and Deepti Sharma (40) helped steady the ship.
However, Pakistan came back by claiming a flurry of wickets, including the scalps of skipper Mithali Raj (9) and her deputy Haramanpreet Kaur (5).
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For Pakistan, spinners Nida Dar (2/45) and Nashra Sandhu (2/36) snared two wickets each.
Brief Scores: India: 244 for 7 in 50 overs (Pooja Vastrakar 67, Sneh Rana 53 not out, Smriti Mandhana 52; Nashra Sandhu 2/36, Nida Dar 2/45).