| Venue: Makuhari Messe Hall A |
| Final | | Match | Wrestler 1 | score | Wrestler 2 | | 157 | Tamyra Mariama Mensah Stock |  United States | 4-1 (VPO1 3-1) | Blessing Oborududu |  Nigeria | |
| Match | Wrestler 1 | score | Wrestler 2 | | 155 | Alla Cherkasova |  Ukraine | 2-0 (VFA 5-0) | Sara Dosho |  Japan | 02:33 | | 156 | Meerim Zhumanazarova |  Kyrgyzstan | 10-1 (VFA 5-0) | Battsetseg Soronzonbold |  Mongolia | 05:06 | | 115 | Sara Dosho | Japan | 7-2 (VPO1 3-1) | ZhouFeng |  China | | | 116 | Meerim Zhumanazarova | Kyrgyzstan | 4-1 (VPO1 3-1) | Elis Manolova |  Azerbaijan | |
| Match | Wrestler 1 | score | Wrestler 2 | | 89 | Tamyra Mariama Mensah Stock | United States | 10-4 (VPO1 3-1) | Alla Cherkasova | Ukraine | | | 90 | Battsetseg Soronzonbold | Mongolia | 2-7 (VPO1 1-3) | Blessing Oborududu | Nigeria | |
| Match | Wrestler 1 | score | Wrestler 2 | | 67 | Tamyra Mariama Mensah Stock | United States | 10-0 (VSU 4-0) | ZhouFeng | China | 04:39 | | 68 | Alla Cherkasova | Ukraine | 6-0 (VFA 5-0) | Anna Carmen Schell |  Germany | 03:43 | | 69 | Battsetseg Soronzonbold | Mongolia | 8-5 (VPO1 3-1) | Khanum Velieva |  ROC | | | 70 | Meerim Zhumanazarova | Kyrgyzstan | 2-3 (VPO1 1-3) | Blessing Oborududu | Nigeria | |
| Match | Wrestler 1 | score | Wrestler 2 | | 59 | Tamyra Mariama Mensah Stock | United States | 10-0 (VSU 4-0) | Sara Dosho | Japan | 02:07 | | 60 | ZhouFeng | China | 13-2 (VSU1 4-1) | Yudari Sanchez Rodriguez |  Cuba | 02:29 | | 61 | Agnieszka Jadwiga Wieszczek Kordus |  Poland | 0-11 (VSU 0-4) | Alla Cherkasova | Ukraine | 04:34 | | 62 | Enas Ahmed |  Egypt | 0-7 (VPO 0-3) | Anna Carmen Schell | Germany | | | 63 | Koumba Larroque |  France | 3-4 (VFA 0-5) | Battsetseg Soronzonbold | Mongolia | 05:41 | | 64 | Danielle Suzanne Lappage |  Canada | 0-7 (VPO 0-3) | Khanum Velieva | ROC | | | 65 | Mimi Nikolova Hristova |  Bulgaria | 5-7 (VPO1 1-3) | Meerim Zhumanazarova | Kyrgyzstan | | | 66 | Elis Manolova | Azerbaijan | 2-13 (VSU1 1-4) | Blessing Oborududu | Nigeria | 04:03 |
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| Final Ranking | CP | VF | VS | TP | TPg | Sd | | 1. Tamyra Mariama Mensah Stock | United States | 14 | 0 | 2 | 34 | 5 | S1 | | 2. Blessing Oborududu | Nigeria | 11 | 0 | 1 | 24 | 10 | S2 | | 3. Alla Cherkasova | Ukraine | 15 | 2 | 1 | 23 | 10 | 134 | | 3. Meerim Zhumanazarova | Kyrgyzstan | 12 | 1 | 0 | 23 | 10 | 236 | | 5. Sara Dosho | Japan | 3 | 0 | 0 | 7 | 14 | 8 | | 5. Battsetseg Soronzonbold | Mongolia | 9 | 1 | 0 | 15 | 25 | 150 | | --------------- | | 7. Feng Zhou | China | 5 | 0 | 1 | 15 | 19 | 14 | | 8. Khanum Velieva | ROC | 4 | 0 | 0 | 12 | 8 | 211 | | 9. Anna Carmen Schell | Germany | 3 | 0 | 0 | 7 | 6 | S4 | | 10.Elis Manolova | Azerbaijan | 2 | 0 | 0 | 3 | 17 | 241 | | 11.Mimi Nikolova Hristova | Bulgaria | 1 | 0 | 0 | 5 | 7 | 218 | | 12.Yudari Sanchez Rodriguez | Cuba | 1 | 0 | 0 | 2 | 13 | 53 | | 13.Koumba Larroque | France | 0 | 0 | 0 | 3 | 4 | S3 | | 14.Enas Ahmed | Egypt | 0 | 0 | 0 | 0 | 7 | 138 | | 15.Danielle Suzanne Lappage | Canada | 0 | 0 | 0 | 0 | 7 | 190 | | 16.Agnieszka Jadwiga Wieszczek Kordus | Poland | 0 | 0 | 0 | 0 | 11 | 114 |
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| CP - Classification points | | VF - Victory by Fall. | | VS - Victory by technical superiority, | | TP - Technical points obtained. | | TPg - Technical points given. |
| The classification points determine the rank of wrestlers from seventh place. In case of a tie, ties will be broken using the following criteria: | | 1. The most victories by "fall" | | 2. The most match wins by superiority | | 3. The most technical points scored in the whole competition | | 4. The fewest technical points given in the whole competition | | 5. The lowest seed number (if applicable) | | 6. The lowest draw number |
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Qualfification 16+2? wrestlers | | Quotas per NOC, not personal |
| World - 8 quotas | | World 2019/Women Freestyle 68kg - First 6 | | 1. Tamyra Mariama Mensah |  USA | | 2. Anna Jenny Fransson |  SWE | | 3. Anna Carmen Schell |  GER | | 3. Battsetseg Soronzonbold |  MGL | | 5. Sara Dosho |  JPN | | 5. Alla Cherkasova |  UKR |
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| Continental - 8 quotas | | African and Ocean Qualification - 2 quotas 13-15.03.2020 | | Pan American Qualification - 2 quotas 13-15.03.2020 | | European Qualification - 2 quotas 19-22.03.2020 | | Asian Qualification - 2 quotas 27-29.03.2020 |
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Two places reserved for the host nation Japan will be awarded at the Asian Continental Qualification Tournament, in case that Japan has not earned qualification spots at juncture. Each NOC can only send one wrestler per weight class and cannot participate in further pre-Olympic tournaments after qualifying in its respective division.
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