To Print a Markup to PDF

In the Markups dialog list box, select the markup you want to save to PDF.
Click the Print to PDF icon.

The Save Output PDF file dialog opens.
Name the PDF file and select a location to save the file.
By default, the PDF is saved with the same name as the markup.
Click Save.
The PDF file opens.

Note: Acrobat Reader needs to be installed before you can open the PDF.