Questions and postings pertaining to the usage of ImageMagick regardless of the interface. This includes the command-line utilities, as well as the C and C++ APIs. Usage questions are like "How do I use ImageMagick to create drop shadows?".
I believe your problem may be in this part of your command
-compose Dst_In -gravity center \
present.png rose: -alpha Set medical.gif -composite \
to me it looks like you are trying to merge more than 3 images: result from previous composite, present.png rose: and medical.gif.
As I said before, composite only allows you to use 3 images and the last will be the mask.
On suggestion is to use -write tmp1.png after each major part of your command (changing the number each time), so that you can review the steps you are using to see that you get the expected and correct results at each step
Further explanation of what you are trying to do might also be helpful and or an example from somewhere else.