You appear to have already got discovered the problems... consistent with the README file enclosed within the MATLAB package:
To use the precomputed kernel, you need to include sample serial numbers because of the first column of the training and testing information.
Let me illustrate with an example:
%# read dataset
[dataClass, data] = libsvmread('./heart_scale');
%# split into train/test datasets
trainData = data(1:150,:);
testData = data(151:270,:);
trainClass = dataClass(1:150,:);
testClass = dataClass(151:270,:);
numTrain = size(trainData,1);
numTest = size(testData,1);
%# radial basis function: exp(-gamma*|u-v|^2)
sigma = 2e-3;
rbfKernel = @(X,Y) exp(-sigma .* pdist2(X,Y,'euclidean').^2);
%# compute kernel matrices between every pairs of (train,train) and
%# (test,train) instances and include sample serial number as first column
K = [ (1:numTrain)' , rbfKernel(trainData,trainData) ];
KK = [ (1:numTest)' , rbfKernel(testData,trainData) ];
%# train and test
model = svmtrain(trainClass, K, '-t 4');
[predClass, acc, decVals] = svmpredict(testClass, KK, model);
%# confusion matrix
C = confusionmat(testClass,predClass)
The output:
optimization finished, #iter = 70
nu = 0.933333
obj = -117.027620, rho = 0.183062
nSV = 140, nBSV = 140
Total nSV = 140
Accuracy = 85.8333% (103/120) (classification)
C = 65 5
12 38