Help for this page
1 => [ [50, 26, "Ins Company Name" , ""]], 2 => [ [50, 26, "Ins Street Address" , ""]], ... [39, 1, "FECA BLK LUNG" ,"" , '1'], [45, 1, "Other" ,"" , '1'], [50, 17, "Insured's I.D. Number" ,"" , '1a'], ],
my $hcfa = do "hcfa.lay"; ... } return $output; }