| Provinsi Id | Provinsi | Kabupaten Id | Kabupaten | Fasyankes Id | Fasyankes | Jumlah Pasien | Sembuh | Pengobatan Lengkap | Lost To Follow Up | Meninggal | Gagal | Tidak Dievaluasi Pindah | Belum Ada Hasil | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5396 | Puskesmas Kemlagi | 68 | 23 | 41 | 3 | 1 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5397 | Puskesmas Kedungsari | 30 | 1 | 27 | 2 | 0 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5398 | Puskesmas Kupang | 76 | 40 | 33 | 0 | 3 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5399 | Puskesmas Jetis Mojokerto | 40 | 24 | 12 | 2 | 2 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5400 | Puskesmas Dawar Blandong | 121 | 52 | 59 | 4 | 6 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5401 | Puskesmas Bandar Kedung Mulyo | 57 | 33 | 22 | 0 | 2 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5402 | Puskesmas Perak | 66 | 47 | 13 | 5 | 1 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5403 | Puskesmas Blimbing Gudo | 44 | 32 | 6 | 5 | 1 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5404 | Puskesmas Plumbon Gambang | 23 | 11 | 12 | 0 | 0 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5405 | Puskesmas Cukir | 88 | 64 | 21 | 1 | 1 | 1 | 0 | 0 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5406 | Puskesmas Brambang | 28 | 15 | 11 | 0 | 2 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5407 | Puskesmas Pulorejo | 50 | 0 | 48 | 0 | 2 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5408 | Puskesmas Kesamben Ngoro | 36 | 17 | 16 | 1 | 2 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5409 | Puskesmas Mojowarno | 48 | 40 | 8 | 0 | 0 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5410 | Puskesmas Japanan | 31 | 23 | 7 | 0 | 1 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5411 | Puskesmas Bareng Kab. Jombang | 63 | 45 | 16 | 0 | 2 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5412 | Puskesmas Wonosalam | 27 | 15 | 11 | 0 | 1 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5413 | Puskesmas Mojoagung | 58 | 34 | 13 | 2 | 6 | 3 | 0 | 0 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5414 | Puskesmas Gambiran | 46 | 31 | 15 | 0 | 0 | 0 | 0 | 0 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5415 | Puskesmas Sumobito | 65 | 40 | 18 | 2 | 4 | 1 | 0 | 0 | |