in reply to Installing the Tk module

A Guide to Installing Modules, A guide to installing modules for Win32
  1. obtain a compiler (ppm install MinGW)
  2. obtain nmake or dmake
  3. perl Makefile.PL ....
Perl/Tk on v5.10.0 | ActiveState Community Site

http://ppm.activestate.com/PPMPackages/zips/ 10xx-builds-only/Windows/Tk-804.028.zip