Example

function ellipse($strokeColor, $fillColor, $backgroundColor)
{
    $draw = new \ImagickDraw();
    $draw->setStrokeColor($strokeColor);
    $draw->setFillColor($fillColor);

    $draw->setStrokeWidth(2);
    $draw->setFontSize(72);

    $draw->ellipse(125, 70, 100, 50, 0, 360);
    $draw->ellipse(350, 70, 100, 50, 0, 315);

    $draw->push();
    $draw->translate(125, 250);
    $draw->rotate(30);
    $draw->ellipse(0, 0, 100, 50, 0, 360);
    $draw->pop();

    $draw->push();
    $draw->translate(350, 250);
    $draw->rotate(30);
    $draw->ellipse(0, 0, 100, 50, 0, 315);
    $draw->pop();

    $imagick = new \Imagick();
    $imagick->newImage(500, 500, $backgroundColor);
    $imagick->setImageFormat("png");

    $imagick->drawImage($draw);

    header("Content-Type: image/png");
    echo $imagick->getImageBlob();
}