This study is concerned with image information management system for small scale hospital. We intended to developing image management system which is used of the existing analog devices such as medical camera, supersonic analyser, endoscope etc. We developed a video in interface board based USB 2.0 for handling image in real time. It is capable of transmitting image input signal like as NTSC, PAL to personal computer through USB 2.0. The developed the board of 40 speeds compared with the exiting system based USB 1.0. Especially the developed system is very helpful for small hospital like as dental clinic, because it is easy and convenient to manage image information without expert. So it will provide reduction of time and cost for handling image information(collecting, saving, retrieval, transmitting image).