<style> LEGEND,FIELDSET.{ border-bottom:#888888 solid 2px; border-right:#888888 solid 2px; border-top:silver solid 1px; border-left:silver solid 1px; } </style> <P> <FIELDSET style="width:150px" id=kkk> <LEGEND> °³ÀÎÁ¤º¸ </LEGEND> <P> À̸§: <INPUT name="last" type="text" tabindex="1" size=10><br> ¼º  : <INPUT name="first" type="text" tabindex="2" size=10><br> ÁÖ¼Ò: <INPUT name="address" type="text" tabindex="3" size=10> <P> </FIELDSET> <FIELDSET style="width:150px"> <LEGEND> Ãë ¹Ì </LEGEND> <INPUT name="history_illness" type="checkbox" value="Smallpox" tabindex="20"> µ¶¼<br> <INPUT name="history_illness" type="checkbox" value="Mumps" tabindex="21"> ÄÄÇ»ÅÍ<br> <INPUT name="history_illness" type="checkbox" value="Dizziness" tabindex="22"> Ã౸<br> <INPUT name="history_illness" type="checkbox" value="Sneezing" tabindex="23"> ³ó±¸ </FIELDSET>
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