I am seeing some reports about this problem on the forums, this seems to be an emerging problem with some apps rendering incorrectly on an external monitor since a recent update, open that Paint app, and move it to the external screen, are you also experiencing problems with that app on the external screen?
Your Windows Build No. indicates you have installed the optional preview update (KB5127936) released at the end of October, that may be causing the problems, the best option may be to uninstall that optional update to test if that resolves the problems rendering some apps on an external monitor.