I turned on PHP error reporting and receive the following when trying to print the ticket that get's added as part of a fresh install of osTicket.
Fatal error: Uncaught exception 'Mpdf\MpdfException' with message 'Temporary files directory "C:\Windows\TEMP" is not writable' in C:\inetpub\wwwroot\helpdesk\include\mpdf\vendor\mpdf\mpdf\src\Cache.php:17 Stack trace: #0 C:\inetpub\wwwroot\helpdesk\include\mpdf\vendor\mpdf\mpdf\src\Mpdf.php(983): Mpdf\Cache->construct('C:\Windows\TEMP') #1 C:\inetpub\wwwroot\helpdesk\include\class.pdf.php(70): Mpdf\Mpdf->construct(Array) #2 C:\inetpub\wwwroot\helpdesk\include\class.ticket.php(3119): Ticket2PDF->__construct(Object(Ticket), 'Letter', NULL) #3 C:\inetpub\wwwroot\helpdesk\scp\tickets.php(498): Ticket->pdfExport('Letter', NULL) #4 {main} thrown in C:\inetpub\wwwroot\helpdesk\include\mpdf\vendor\mpdf\mpdf\src\Cache.php on line 17