| Prov ID | Provinsi | Kab ID | Kabupaten/Kota | Fasyankes ID | Fasyankes | Penerima TPT | Penerima TPT Enrol | Kurang 5 Tahun | Kurang 5 Tahun Enrol | 5-14 Tahun | 5-14 Tahun Enrol | Lebih 15 Tahun | Lebih 15 Tahun Enrol | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5374 | Puskesmas Jatirejo Kab. Mojokerto | 25 | 25 | 0 | 0 | 6 | 6 | 19 | 19 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5375 | Puskesmas Gondang Kab. Mojokerto | 43 | 43 | 1 | 1 | 5 | 5 | 37 | 37 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5376 | Puskesmas Pacet | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5377 | Puskesmas Pandan Mojokerto | 31 | 31 | 0 | 0 | 2 | 2 | 29 | 29 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5378 | Puskesmas Trawas | 14 | 14 | 0 | 0 | 0 | 0 | 14 | 14 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5379 | Puskesmas Manduro | 13 | 13 | 0 | 0 | 1 | 1 | 12 | 12 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5380 | Puskesmas Ngoro | 24 | 24 | 0 | 0 | 1 | 1 | 23 | 23 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5381 | Puskesmas Pungging | 15 | 15 | 0 | 0 | 1 | 1 | 14 | 14 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5382 | Puskesmas Watukenongo | 20 | 20 | 0 | 0 | 2 | 2 | 18 | 18 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5383 | Puskesmas Pesanggrahan | 50 | 50 | 0 | 0 | 2 | 2 | 48 | 48 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5384 | Puskesmas Mojosari | 13 | 13 | 0 | 0 | 1 | 1 | 12 | 12 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5385 | Puskesmas Modopuro | 49 | 49 | 4 | 4 | 8 | 8 | 37 | 37 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5386 | Puskesmas Bangsal | 61 | 60 | 2 | 1 | 9 | 9 | 50 | 50 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5387 | Puskesmas Gayaman | 166 | 166 | 6 | 6 | 22 | 22 | 138 | 138 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5388 | Puskesmas Kutorejo | 3 | 3 | 0 | 0 | 0 | 0 | 3 | 3 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5390 | Puskesmas Puri | 70 | 70 | 8 | 8 | 15 | 15 | 47 | 47 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5391 | Puskesmas Tawangsari Mojokerto | 10 | 10 | 0 | 0 | 2 | 2 | 8 | 8 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5392 | Puskesmas Trowulan | 91 | 88 | 1 | 0 | 14 | 12 | 76 | 76 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5393 | Puskesmas Sooko Kab. Mojokerto | 61 | 59 | 3 | 3 | 7 | 7 | 51 | 49 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5394 | Puskesmas Gedeg | 5 | 5 | 0 | 0 | 0 | 0 | 5 | 5 | |