Using those input contents, there is no automatic (using styles) way to do a TOC that contains exactly that content.
However, you could use TC tags to get almost there (apart from the spaces between the page numbers and the preceding dots). Using TC tags is a massive time sink when styles are so much quicker but your requirements look like they point that way.
Have a look at
http://wordfaqs.mvps.org/toctips.htm including the section on omitting page numbers for more information.