There is an ongoing outage on the primary CPAN mirror. It is possible to work around the issue by using MetaCPAN as a mirror.
To install PDF::API2::Ladder, copy and paste the appropriate command in to your terminal.
cpanm
cpanm PDF::API2::Ladder
CPAN shell
perl -MCPAN -e shell install PDF::API2::Ladder
For more information on module installation, please visit the detailed CPAN module installation guide.