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  1. or download this
    <html>
<form>
...
<p><div><label for="descOfSymptoms">Description of Symptoms</label> <t
+extarea id="descOfSymptoms" style="width:363px" rows="4" <TMPL_VAR de
+scOfSymptoms> ></textarea></p>
</form>
</html>
  2. or download this
    #!/usr/local/bin/perl
use warnings;
...
$template->param(descOfSymptoms => $results->[2]);
}
print "Content-Type: text/html\n\n", $template->output;