<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>&nbsp;°³ÀÎÁ¤º¸&nbsp;</LEGEND>
   <P>
               À̸§: <INPUT name="last" type="text" tabindex="1" size=10><br>
            ¼º&nbsp;&nbsp;&nbsp: <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>&nbsp;Ãë ¹Ì&nbsp;</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>