Combine an image and pen input

Hi Power Appr's

I have an edit form to submit data back to my SharePoint list, one of the data cards is an image.

For this image is it possible to combine an image and pen input to show and submit in the form?

So a body image has a pen input overlayed to mark up an injury area and combined together to save in the image.

Do you have any solutions or recommended way to achieve this ?

Any help or direction appreciated.

Many thanks

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