| Elections to the Sejm The Republic of Poland |
| Ursus, Precinct no. 696 , Constituency no. 19 |
| Electoral Commission Regional Headquarters: | Dom Kultury " Kolorowa", Sosnkowskiego 16 , Ursus 02-495 Warszawa |
| Number of electors | 2 106 |
| Number of dispensed ballot cards | 1 353 |
| Number of dispensed ballot cards for plenipotentiaries | 1 |
| Number of cards removed from urn | 1 352 |
| Number of invalid ballot cards | 1 |
| Number of valid ballot cards | 1 351 |
| Number of votes invalid | 16 |
| Number of votes valid | 1 335 |
| Date of the impact of a protocol to visualize | 10-10-2011 10:26 |
