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Marnus Labuschagne, on 20 not out, and Steve Smith, on two, survived to the break.
'He's just a good character, and it's good to see sometimes,' said Josh Hazlewood, who played with Siraj at RCB.
South Africa's 55 was their lowest total since their readmission to Test cricket in 1992.
Siraj was hit on the throat as he dropped a skier off the bowling off Kuldeep Yadav after Max O'Dowd attempted a big hit.
More than the Pakistan batters throwing their wickets away it was a case of some exceptional bowling by the Indians, especially Jasprit Bumrah.
The right-arm seamer became the fourth Indian after Anil Kumble, Stuart Binny and Jasprit Bumrah to claim six wickets in a One-Day International.
Siraj has surged eight spots after his deadly spell against Sri Lanka in the Asia Cup final.
Siraj’s performance in the Asia Cup final attained the status of a great spell not solely on account of the four wickets taken in the second over, but because he sustained his hostility and incisiveness to scalp more important wickets in the overs that followed.
Siraj's five-wicket haul in the morning session allowed India to bowl out the West Indies for 255 in their first innings after the hosts started day four at 229 for five.
It is understood that the gambler had lost a lot of money during the India games and messaged Siraj out of sheer frustration.
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