| 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 | 264 | Kota Surabaya | 5861 | Puskesmas Sawah Pulo | 150 | 150 | 4 | 4 | 17 | 17 | 129 | 129 | |
| 15 | Jawa Timur | 264 | Kota Surabaya | 5862 | Puskesmas Perak Timur | 283 | 281 | 15 | 15 | 48 | 48 | 220 | 218 | |
| 15 | Jawa Timur | 264 | Kota Surabaya | 5863 | Puskesmas Tembok Dukuh | 290 | 290 | 3 | 3 | 20 | 20 | 267 | 267 | |
| 15 | Jawa Timur | 264 | Kota Surabaya | 5864 | Puskesmas Gundih | 72 | 72 | 12 | 12 | 15 | 15 | 45 | 45 | |
| 15 | Jawa Timur | 264 | Kota Surabaya | 5865 | Puskesmas Krembangan Selatan | 129 | 103 | 7 | 4 | 19 | 14 | 103 | 85 | |
| 15 | Jawa Timur | 264 | Kota Surabaya | 5866 | Puskesmas Dupak | 68 | 68 | 1 | 1 | 4 | 4 | 63 | 63 | |
| 15 | Jawa Timur | 264 | Kota Surabaya | 5867 | Puskesmas Morokrembangan | 65 | 64 | 3 | 3 | 7 | 7 | 55 | 54 | |
| 15 | Jawa Timur | 264 | Kota Surabaya | 5868 | Puskesmas Asemrowo | 98 | 98 | 9 | 9 | 13 | 13 | 76 | 76 | |
| 15 | Jawa Timur | 264 | Kota Surabaya | 5869 | Puskesmas Sememi | 36 | 36 | 2 | 2 | 7 | 7 | 27 | 27 | |
| 15 | Jawa Timur | 265 | Kota Batu | 5870 | Puskesmas Batu Kota Batu | 9 | 9 | 0 | 0 | 1 | 1 | 8 | 8 | |
| 15 | Jawa Timur | 265 | Kota Batu | 5871 | Puskesmas Sisir | 51 | 50 | 1 | 1 | 9 | 9 | 41 | 40 | |
| 15 | Jawa Timur | 265 | Kota Batu | 5872 | Puskesmas Beji Kota Batu | 91 | 91 | 0 | 0 | 13 | 13 | 78 | 78 | |
| 15 | Jawa Timur | 265 | Kota Batu | 5873 | Puskesmas Junrejo | 39 | 39 | 0 | 0 | 5 | 5 | 34 | 34 | |
| 15 | Jawa Timur | 265 | Kota Batu | 5874 | Puskesmas Bumiaji | 35 | 35 | 0 | 0 | 2 | 2 | 33 | 33 | |
| 16 | Banten | 266 | Kab. Pandeglang | 5875 | Puskesmas Sumur | 39 | 39 | 0 | 0 | 0 | 0 | 39 | 39 | |
| 16 | Banten | 266 | Kab. Pandeglang | 5876 | Puskesmas Cimanggu | 50 | 50 | 0 | 0 | 2 | 2 | 48 | 48 | |
| 16 | Banten | 266 | Kab. Pandeglang | 5877 | Puskesmas Cibaliung | 25 | 22 | 0 | 0 | 0 | 0 | 25 | 22 | |
| 16 | Banten | 266 | Kab. Pandeglang | 5878 | Puskesmas Cibitung Pandeglang | 81 | 80 | 0 | 0 | 2 | 2 | 79 | 78 | |
| 16 | Banten | 266 | Kab. Pandeglang | 5879 | Puskesmas Cikeusik | 59 | 57 | 1 | 1 | 7 | 5 | 51 | 51 | |
| 16 | Banten | 266 | Kab. Pandeglang | 5880 | Puskesmas Cigeulis | 136 | 136 | 8 | 8 | 27 | 27 | 101 | 101 | |