| Upper Section | ||
| Ones | ||
| Twos | ||
| Threes | ||
| Fours | ||
| Fives | ||
| Sixes | ||
| Upper Sum | 0 |
0 |
| Bonus (≥63) | 0 |
0 |
| Lower Section | ||
| Three of a Kind | ||
| Four of a Kind | ||
| Full House (25) | ||
| Sm. Straight (30) | ||
| Lg. Straight (40) | ||
| Yahtzee (50) | ||
| Bonus (5 × 100) |
|
|
| Chance | ||
| Lower Sum | 0 |
0 |
| Grand Total | 0 |
0 |