| 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 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 13 | Jawa Tengah | 188 | Kab. Cilacap | 18952 | Klinik Bhayangkara SAR Polres Cilacap | 2 | 2 | 0 | 0 | 1 | 1 | 1 | 1 | |
| 13 | Jawa Tengah | 188 | Kab. Cilacap | 18987 | KLINIK DARUSSYIFA CILACAP | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | |
| 6 | Sumatera Selatan | 100 | Kab. Ogan Komering Ilir | 19036 | Puskesmas Tanjung Lubuk | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | |
| 12 | Jawa Barat | 174 | Kab. Purwakarta | 19072 | Klinik Bhayangkara Polres Purwakarta | 2 | 2 | 0 | 0 | 0 | 0 | 2 | 2 | |
| 19 | Nusa Tenggara Timur | 310 | Kab. Nagekeo | 19184 | PUSKESMAS UTETOTO | 3 | 3 | 0 | 0 | 0 | 0 | 3 | 3 | |
| 19 | Nusa Tenggara Timur | 310 | Kab. Nagekeo | 19186 | PUSKESMAS MAUKELI | 5 | 5 | 0 | 0 | 0 | 0 | 5 | 5 | |
| 19 | Nusa Tenggara Timur | 304 | Kab. Ngada | 19192 | PUSKESMAS WOLOWIO | 15 | 15 | 0 | 0 | 2 | 2 | 13 | 13 | |
| 8 | Lampung | 128 | Kab. Lampung Selatan | 19269 | PUSKESMAS SINAR REZEKI | 5 | 5 | 0 | 0 | 2 | 2 | 3 | 3 | |
| 13 | Jawa Tengah | 189 | Kab. Banyumas | 19319 | RS JIH Purwokerto | 2 | 2 | 1 | 1 | 1 | 1 | 0 | 0 | |
| 33 | Papua Barat | 474 | Kab. Kaimana | 19406 | Puskesmas Tairi | 6 | 6 | 1 | 1 | 1 | 1 | 4 | 4 | |
| 14 | DI Yogyakarta | 224 | Kab. Bantul | 19565 | Alma Atta Medical Center | 4 | 4 | 0 | 0 | 0 | 0 | 4 | 4 | |
| 15 | Jawa Timur | 229 | Kab. Ponorogo | 19622 | Klinik Amalia Husada | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | |
| 23 | Kalimantan Timur | 360 | Kab. Berau | 19676 | Klinik Polres Berau | 2 | 2 | 0 | 0 | 0 | 0 | 2 | 2 | |
| 34 | Papua | 488 | Kab. Jayapura | 19815 | Puskesmas Khomba Waliyauw | 47 | 30 | 5 | 3 | 5 | 5 | 37 | 22 | |
| 34 | Papua | 488 | Kab. Jayapura | 19827 | Klinik Lasaro | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | |
| 5 | Jambi | 92 | Kab. Muaro Jambi | 19867 | PUSKESMAS PETALING MUARO JAMBI | 2 | 2 | 0 | 0 | 0 | 0 | 2 | 2 | |
| 11 | DKI Jakarta | 158 | Kota Jakarta Pusat | 19922 | Klinik Ruslam | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | |
| 15 | Jawa Timur | 242 | Kab. Sidoarjo | 19965 | Klinik Dian Husada | 6 | 6 | 0 | 0 | 3 | 3 | 3 | 3 | |
| 15 | Jawa Timur | 242 | Kab. Sidoarjo | 20001 | KLINIK MEDIKA UTAMA SIDOARJO | 3 | 2 | 0 | 0 | 0 | 0 | 3 | 2 | |
| 15 | Jawa Timur | 242 | Kab. Sidoarjo | 20004 | Klinik Medis Harmoni | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | |