Export

cmd.exe, require elevated prompt:

Only sessions:

regedit /e "%USERPROFILE%\Desktop\putty-sessions.reg" HKEY_CURRENT_USER\Software\SimonTatham\PuTTY\Sessions

All settings:

regedit /e "%USERPROFILE%\Desktop\putty.reg" HKEY_CURRENT_USER\Software\SimonTatham

Powershell:

Only sessions:

reg export HKCU\Software\SimonTatham\PuTTY\Sessions ([Environment]::GetFolderPath("Desktop") + "\putty-sessions.reg")

All settings:

reg export HKCU\Software\SimonTatham ([Environment]::GetFolderPath("Desktop") + "\putty.reg")

Import

Double-click on the *.reg file and accept the import.

Source: windows – How to export/import PuTTy sessions list? – Stack Overflow