1086 Strange medical card - help

When we went to the USL office with our E111 and our residenza they gave us a weedy looking slip of paper valid until our permesso di soggiorno runs out (5 years).

I have used it at the doctors once but I am not sure if we are supposed to make some kind of contribution to the Italian NHS equivalent here or is the slip of paper enough? :confused:

Category
Health & Safety

Not sure what that is...we were given a proper booklet with tear-off bits for the Doctor to send off...valid until dec 2005 when new E111 comes in ..or residency, in our case ! It is all stamped and official looking !! :confused: