The front cover of this humorous birthday card is set in a winter wonderland, blanketed with a fresh layer of glistening snow. In the foreground, there's a jovial snowman dressed as a nurse, complete with a nurse's cap perched jauntily on its head and a red cross emblem front and center. The snowman is adorned with a stethoscope made from a silver garland, its metallic sheen catching the light.

Nearby, a medical-themed birthday cake is comically half-buried in the snow, the layers decorated in pale blue and white fondant to mimic ice. On top of the cake, a pair of red licorice sticks form a playful stethoscope, and a frosting syringe is angled amusingly as if ready to give a dose of laughter.

In the background, towering snowy pine trees stretch upwards, their branches heavy with snow, glistening under a clear, bright blue sky. From the top branches, a whimsical banner made of gauze-like material gently sways in the wind. Printed on the banner in bold, bright red letters is the text "GIA," fluttering above the scene.

A trio of cardinals, their vivid red feathers a stark contrast against the snowy landscape, are perched in various spots: one on the snowman's cap, another pecking at the cake, and the third nestled within the branches of the trees. This lively, detailed scene creates a visual comedy set amidst a picturesque, snow-laden backdrop.

Generated with these themes: NURSE, FUNNY, and SNOW.

Made with ❤️ by AI.