How to pass htmlform data to the fragment controller

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Hi Daniel, pastebin, i have some account activation issue and have to wait for somemore time for the activation. Here i have paste the htmlform code.

<!-- Autogenerated example form  (template from 01-Nov-2010 -->
<macros>
	paperFormId = (Fill this in)
	headerColor =#009d8e
	fontOnHeaderColor = white
</macros>

<style>
	.section {
		border: 1px solid $headerColor;
		padding: 2px;
		text-align: left;
		margin-bottom: 1em;
	}
	.sectionHeader {
		background-color: $headerColor;
		color: $fontOnHeaderColor;
		display: block;
		padding: 2px;
		font-weight: bold;
	}
	table.baseline-aligned td {
		vertical-align: baseline;
	}
</style>
table, tr, td { background-color:#E6E6E6; border:1px solid black; border-collapse: collapse; padding: 0.1cm; margin-left: 0.8cm; } body { font-family: "Arial"; font-size: 12px; } body[Attributes Style] { margin-right: 0px; margin-left: 0px; margin-bottom: 0px; margin-top: 0px; } body { display: block; } article, aside, footer, header, hgroup, main, nav, section { display: block; } p { padding-left: 0.8cm; margin-top: 0.0cm; margin-bottom: 0.0cm; } p { display: block; -webkit-margin-before: 1em; -webkit-margin-after: 1em; -webkit-margin-start: 0px; -webkit-margin-end: 0px; } label { cursor: default; } input[type="number"] { width: 6em; } textarea { width: 55em; height: 3em; display: block; } textarea { -webkit-appearance: textarea; background-color: white; border-image-source: initial; border-image-slice: initial; border-image-width: initial; border-image-outset: initial; border-image-repeat: initial; -webkit-rtl-ordering: logical; -webkit-user-select: text; flex-direction: column; resize: auto; cursor: auto; white-space: pre-wrap; word-wrap: break-word; border-width: 1px; border-style: solid; border-color: initial; padding: 2px; } header.level1 { font-family: "Arial"; font-size: medium; font-weight: bold; margin-top: 0.3cm; margin-bottom: 0.0cm; background-color: white; color: black; } input[type="text"] { width: 20em; } header.level2 { text-align: left; font-family: "Arial"; font-size: small; font-weight: bold; margin-top: 0.3cm; margin-bottom: 0.0cm; background-color: white; color: black; } form input, form select, form textarea, form ul.select, .form input, .form select, .form textarea, .form ul.select { min-width: 30%; color: #363463; display: block; padding: 5px 10px; margin: 0; margin-top: 5px; background-color: #FFF; border: 1px solid #dddddd; } #label_text{ float:left; /* padding-right: 10px; */ padding-right: 1%; } #label_placeholder{ float:right; margin-top: -18px; /* padding-right: 540px; padding-right: 52%; */ } header { position: relative; /* background-color: #00463f; */ color: #CCC; line-height: 1em; -moz-border-radius: 5px; -webkit-border-radius: 5px; -o-border-radius: 5px; -ms-border-radius: 5px; -khtml-border-radius: 5px; border-radius: 5px; } 
<span style="float:right">Paper Form ID: $paperFormId</span>
<h2>Cardiac MRI Adenosine Stress Protocol</h2>

<section headerLabel="1. Encounter Details">
	<table class="baseline-aligned">
		<tr>
			<td>Date:</td>
			<td><encounterDate default="today"/></td>
		</tr>
		<tr>
			<td>Location:</td>
			<td><encounterLocation/></td>
		</tr>
		<tr>
			<td>Provider:</td>
			<td><encounterProvider/></td>
		</tr>
	</table>
</section>
Cardiac MRI: Adenosine Stress Protocol

Field strength: T

Adenosine stress protocol:

Clinical information

Comparison

Findings

Stress perfusion imaging:

Rest perfusion imaging:

Cine images:

Left ventricle

End-diastole volume: mL

End-systolic volume: mL

Stroke volume: mL

Ejection fraction: %

Mass: g

Antero-septal wall (end-diastole): cm

Infero-lateral wall (end-diastole): cm

Left ventricular diameter measured at the base (end-diastole): cm

Left ventricular diameter measured at the base (end-systole): cm

Delayed enhancement:

Reference

Reference values from: Maceira et al., Normalized left ventricular systolic and diastolic function by steady state free precession cardiovascular magnetic resonance. J Cardiovascular Magn Reson 2006; 8:417-426.

Impression 

<submit/>