| Elections to the Senate The Republic of Poland |
| gm. Ożarów Mazowiecki, Precinct no. 15 , Constituency no. 40 |
| Electoral Commission Regional Headquarters: | Obwód odrębny: Dom Opiekuńczo Leczniczy w Pilaszkowie, Nowowiejska 137 , Pilaszków 05-860 Płochocin |
| Number of electors | 79 |
| Number of dispensed ballot cards | 70 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Number of cards removed from urn | 70 |
| Number of invalid ballot cards | 0 |
| Number of valid ballot cards | 70 |
| Number of votes invalid | 9 |
| Number of votes valid | 61 |
| Date of the impact of a protocol to visualize | 10-10-2011 06:11 |