| 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 | 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 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5397 | Puskesmas Kedungsari | 4 | 1 | 1 | 2 | 4 | 1 | 1 | 2 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5398 | Puskesmas Kupang | 11 | 0 | 2 | 9 | 11 | 0 | 2 | 9 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5399 | Puskesmas Jetis Mojokerto | 12 | 0 | 3 | 9 | 12 | 0 | 3 | 9 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5400 | Puskesmas Dawar Blandong | 71 | 2 | 7 | 62 | 71 | 2 | 7 | 62 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5401 | Puskesmas Bandar Kedung Mulyo | 115 | 4 | 16 | 95 | 115 | 4 | 16 | 95 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5402 | Puskesmas Perak | 156 | 12 | 32 | 112 | 156 | 12 | 32 | 112 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5403 | Puskesmas Blimbing Gudo | 57 | 8 | 14 | 35 | 57 | 8 | 14 | 35 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5404 | Puskesmas Plumbon Gambang | 57 | 8 | 5 | 44 | 57 | 8 | 5 | 44 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5405 | Puskesmas Cukir | 194 | 19 | 37 | 138 | 194 | 19 | 37 | 138 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5406 | Puskesmas Brambang | 145 | 14 | 28 | 103 | 145 | 14 | 28 | 103 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5407 | Puskesmas Pulorejo | 139 | 8 | 10 | 121 | 139 | 8 | 10 | 121 | |