To output to a recording media so as to make it easy to regenerate a composite image.

In a control unit 20, the composite image is generated using respective photographed image photographing a patient by a control section, and an output frame showing divisions for dividedly outputting the composite image into films along with the composite image and in which an output range bigger than the divisions is determined is displayed in a display section. An output commanding operation to the films is done by an operation section, then an image in the output range determined in the output frame is extracted from the composite image. Further, output control information commanding output requirements or others is generated, a marker image of a cut line as an indicator showing the border of the divisions is synthesized on the extracted image, the marker image is transmitted to a film output unit 40 by a transmitting section 24 as an output image along with the output control information, and a film output is done by the film output unit 40.