\begin{tikzpicture}[scale=1.5]
\clip(0,0) circle (2.2cm);
\def\x{.5};
\tkzDefPoint(0,0){o}
\tkzDefPoint(2,0){a}
\tkzDrawCircle[dashed,color=blue](o,a)
\tkzDefPoint(180:\x){p}\tkzDefPoint(180:4/\x){p*}
\tkzDefPoint(80:\x){q}\tkzDefPoint(80:4/\x){q*}
\tkzDefPoint(300:\x){r}\tkzDefPoint(300:4/\x){r*}
\tkzCircumCenter(q,r,q*)\tkzGetPoint{Cqr}
\tkzCircumCenter(p,r,p*)\tkzGetPoint{Cpr}
\tkzCircumCenter(q,p,q*)\tkzGetPoint{Cpq}
\tkzInterCC(Cqr,q)(o,a)\tkzGetPoints{u1}{u}
\tkzInterCC(Cpr,p)(o,a)\tkzGetPoints{v1}{v}
\tkzInterCC(Cpq,q)(o,a)\tkzGetPoints{t1}{t}
\tkzDrawArc(Cqr,u)(r)
\tkzDrawArc(Cpq,t)(q)
\tkzDrawArc(Cpr,v)(p)
\tkzDefLine[perpendicular=through u,K=.-1](o,u);\tkzGetPoint{lu};
\tkzDefLine[perpendicular=through v,K=.-1](o,v);\tkzGetPoint{lv};
\tkzDefLine[perpendicular=through t,K=.-1](o,t);\tkzGetPoint{lt};
\tkzInterLL(lu,u)(lv,v)\tkzGetPoint{Cuv}
\tkzDrawArc(Cuv,u)(v)
\tkzInterLL(lu,u)(lt,t)\tkzGetPoint{Cut}
\tkzDrawArc(Cut,t)(u)
\tkzInterLL(lv,v)(lt,t)\tkzGetPoint{Cvt}
\tkzDrawArc(Cvt,v)(t)
\tkzDrawPoints[fill=red](p,q,r)
\tkzDrawPoints[fill=white](u,v,t)
\tkzLabelPoint[above](u){\(u\)}
\tkzLabelPoint[right](v){\(v\)}
\tkzLabelPoint[left](q){\(q\)}
\tkzLabelPoint[left](t){\(t\)}
\tkzLabelPoint[left](p){\(p\)}
\tkzLabelPoint[below](r){\(r\)}
\draw (285:.25) node{\(\gamma\)};
\draw (90:.25) node{\(\beta\)};
\tkzLabelPoint[right](p){\(\alpha\)};
\draw (130:.5) node{\(R_1\)};
\draw (240:.5) node{\(R_2\)};
\draw (350:.35) node{\(R_3\)};
%\tkzLabelPoint[below](r)
\end{tikzpicture}