| Prov ID | Provinsi | Kab ID | Kabupaten/Kota | Fas ID | Fasyankes | Penerima TPT | Kurang 5 Tahun | 5-14 Tahun | Lebih 15 Tahun | Mulai TPT | Kurang 5 Tahun, Mulai TPT | 5-14 Tahun, Mulai TPT | Lebih 15 Tahun, Mulai TPT | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5377 | Puskesmas Pandan Mojokerto | 22 | 0 | 3 | 19 | 22 | 0 | 3 | 19 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5378 | Puskesmas Trawas | 2 | 0 | 0 | 2 | 2 | 0 | 0 | 2 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5379 | Puskesmas Manduro | 4 | 0 | 1 | 3 | 4 | 0 | 1 | 3 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5380 | Puskesmas Ngoro | 5 | 0 | 0 | 5 | 5 | 0 | 0 | 5 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5381 | Puskesmas Pungging | 11 | 0 | 1 | 10 | 11 | 0 | 1 | 10 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5382 | Puskesmas Watukenongo | 49 | 3 | 7 | 39 | 49 | 3 | 7 | 39 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5383 | Puskesmas Pesanggrahan | 21 | 0 | 2 | 19 | 19 | 0 | 2 | 17 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5384 | Puskesmas Mojosari | 19 | 0 | 3 | 16 | 19 | 0 | 3 | 16 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5385 | Puskesmas Modopuro | 81 | 3 | 9 | 69 | 81 | 3 | 9 | 69 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5386 | Puskesmas Bangsal | 19 | 3 | 4 | 12 | 19 | 3 | 4 | 12 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5387 | Puskesmas Gayaman | 140 | 5 | 18 | 117 | 140 | 5 | 18 | 117 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5388 | Puskesmas Kutorejo | 9 | 0 | 1 | 8 | 9 | 0 | 1 | 8 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5389 | Puskesmas Dlanggu | 20 | 0 | 4 | 16 | 20 | 0 | 4 | 16 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5390 | Puskesmas Puri | 76 | 13 | 11 | 52 | 76 | 13 | 11 | 52 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5391 | Puskesmas Tawangsari Mojokerto | 5 | 0 | 0 | 5 | 5 | 0 | 0 | 5 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5392 | Puskesmas Trowulan | 92 | 6 | 24 | 62 | 92 | 6 | 24 | 62 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5393 | Puskesmas Sooko Kab. Mojokerto | 79 | 11 | 12 | 56 | 79 | 11 | 12 | 56 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5394 | Puskesmas Gedeg | 12 | 1 | 2 | 9 | 11 | 0 | 2 | 9 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5395 | Puskesmas Lespadangan | 3 | 1 | 0 | 2 | 3 | 1 | 0 | 2 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5396 | Puskesmas Kemlagi | 2 | 0 | 2 | 0 | 2 | 0 | 2 | 0 | |