Reasons for losses from the cascade need to be identified and addressed. Addressing missing data will further help in understanding programme performance. Frontline workers may be trained and utilized to capture real time data using simpler tools. Aligning the annual India TB report with the guidelines by including household contacts of all notified persons with pulmonary tuberculosis instead of only microbiologically positive ones may improve treatment outcome recording among clinically diagnosed cases. The capacity building, monitoring, and supportive supervision need further strengthening to improve the provision of tuberculosis preventive treatment care.