| Fasyankes Provinsi Id | Fasyankes Provinsi | Fasyankes Kabupaten Id | Fasyankes Kabupaten | Fasyankes Id | Fasyankes | Penerima TPT | Penerima TPT Enrol | Dewasa | Anak | 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 | 5392 | Puskesmas Trowulan | 99 | 96 | 82 | 17 | 1 | 0 | 16 | 14 | 82 | 82 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5393 | Puskesmas Sooko Kab. Mojokerto | 69 | 69 | 56 | 13 | 3 | 3 | 10 | 10 | 56 | 56 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5394 | Puskesmas Gedeg | 11 | 11 | 9 | 2 | 0 | 0 | 2 | 2 | 9 | 9 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5395 | Puskesmas Lespadangan | 13 | 13 | 13 | 0 | 0 | 0 | 0 | 0 | 13 | 13 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5397 | Puskesmas Kedungsari | 4 | 4 | 2 | 2 | 1 | 1 | 1 | 1 | 2 | 2 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5398 | Puskesmas Kupang | 14 | 14 | 11 | 3 | 0 | 0 | 3 | 3 | 11 | 11 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5399 | Puskesmas Jetis Mojokerto | 22 | 22 | 22 | 0 | 0 | 0 | 0 | 0 | 22 | 22 | |
| 15 | Jawa Timur | 243 | Kab. Mojokerto | 5400 | Puskesmas Dawar Blandong | 22 | 18 | 21 | 1 | 0 | 0 | 1 | 1 | 21 | 17 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5401 | Puskesmas Bandar Kedung Mulyo | 94 | 93 | 76 | 18 | 3 | 3 | 15 | 15 | 76 | 75 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5402 | Puskesmas Perak | 133 | 132 | 119 | 14 | 4 | 4 | 10 | 10 | 119 | 118 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5403 | Puskesmas Blimbing Gudo | 126 | 126 | 91 | 35 | 8 | 8 | 27 | 27 | 91 | 91 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5404 | Puskesmas Plumbon Gambang | 71 | 71 | 53 | 18 | 7 | 7 | 11 | 11 | 53 | 53 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5405 | Puskesmas Cukir | 178 | 178 | 142 | 36 | 5 | 5 | 31 | 31 | 142 | 142 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5406 | Puskesmas Brambang | 142 | 142 | 113 | 29 | 6 | 6 | 23 | 23 | 113 | 113 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5407 | Puskesmas Pulorejo | 107 | 107 | 91 | 16 | 1 | 1 | 15 | 15 | 91 | 91 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5408 | Puskesmas Kesamben Ngoro | 63 | 63 | 51 | 12 | 3 | 3 | 9 | 9 | 51 | 51 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5409 | Puskesmas Mojowarno | 184 | 183 | 141 | 43 | 2 | 2 | 41 | 40 | 141 | 141 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5410 | Puskesmas Japanan | 99 | 99 | 80 | 19 | 3 | 3 | 16 | 16 | 80 | 80 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5411 | Puskesmas Bareng Kab. Jombang | 93 | 93 | 71 | 22 | 6 | 6 | 16 | 16 | 71 | 71 | |
| 15 | Jawa Timur | 244 | Kab. Jombang | 5412 | Puskesmas Wonosalam | 43 | 43 | 31 | 12 | 3 | 3 | 9 | 9 | 31 | 31 | |