First you need to install Cygwin, instructions
here. Then install SMSTools3, instructions at the same page.
After those installations you have two folders:
c:\cygwin\var\spool\sms\outgoing for outgoing messages and
c:\cygwin\var\spool\sms\incoming for incoming messages. See the
SMS file format for details.
You can simply put the message file into the outgoing folder, and SMSTools3 will send it.
To integrate SMSTools3 with WinCC you need to create suitable
Add-on using languages and possibilities provided by WinCC. In case of alarms, Add-on could create a SMS message file into the outgoing folder. Also it could check if there are new messages available in the incoming folder, and do the actions based on the content of SMS. The scripting is done in the WinCC side, not in the SMSTools3 side. Therefore I cannot give any detailed instructions or sample scripts.