1. Create a 4 1/4 x 5 1/2 top folding card out of red cardstock.
2. Adhere patterned paper panel to a white panel.
3. Tie ribbon around paper panel layers and then adhere to card.
4. Stamp Nurse Kiddo on a white die cut oval panel and color with markers.
5. Back image panel with a red scallop edge die cut oval panel and adhere to card.
6. Stamp sentiment on a die cut white panel in red ink.
7. Sponge red ink around the edges of the sentiment panel and adhere to card with red brads.