| 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 | 242 | Kab. Sidoarjo | 5373 | Puskesmas Balongbendo | 79 | 79 | 11 | 11 | 9 | 9 | 59 | 59 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5374 | Puskesmas Jatirejo Kab. Mojokerto | 28 | 28 | 1 | 1 | 6 | 6 | 21 | 21 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5375 | Puskesmas Gondang Kab. Mojokerto | 44 | 44 | 1 | 1 | 5 | 5 | 38 | 38 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5376 | Puskesmas Pacet | 2 | 2 | 0 | 0 | 0 | 0 | 2 | 2 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5377 | Puskesmas Pandan Mojokerto | 36 | 36 | 0 | 0 | 2 | 2 | 34 | 34 | |
| 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 | 15 | 14 | 0 | 0 | 1 | 1 | 14 | 13 | |
| 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 | 24 | 24 | 1 | 1 | 1 | 1 | 22 | 22 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5382 | Puskesmas Watukenongo | 30 | 30 | 0 | 0 | 3 | 3 | 27 | 27 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5383 | Puskesmas Pesanggrahan | 58 | 58 | 0 | 0 | 2 | 2 | 56 | 56 | |
| 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 | 60 | 60 | 5 | 5 | 10 | 10 | 45 | 45 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5386 | Puskesmas Bangsal | 72 | 71 | 2 | 1 | 9 | 9 | 61 | 61 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5387 | Puskesmas Gayaman | 188 | 188 | 6 | 6 | 24 | 24 | 158 | 158 | |
| 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 | 115 | 115 | 9 | 9 | 18 | 18 | 88 | 88 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5391 | Puskesmas Tawangsari Mojokerto | 11 | 11 | 0 | 0 | 2 | 2 | 9 | 9 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5392 | Puskesmas Trowulan | 99 | 96 | 1 | 0 | 16 | 14 | 82 | 82 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5393 | Puskesmas Sooko Kab. Mojokerto | 69 | 69 | 3 | 3 | 10 | 10 | 56 | 56 | |