The scene unfolds in a lively and whimsical hospital-themed birthday bash, with a vibrant and cartoonish style inspired by Bill Watterson and Charles Schulz.

At the center of the card, a larger-than-life birthday cake towers, its layers whimsically skewed and frosted in bright blue and green swirls, topped with a miniature ambulance figurine as a playful nod to the ER theme. Perched at the cake’s peak is a colorful banner that reads “JIM” in bold, cheerful red letters.

To the left of the cake, a manager character, illustrated with exaggerated features like a comically large tie and oversized glasses, is enthusiastically blowing a party horn that spirals outwards in a loop-de-loop. The manager is wearing a classic suit, rendered in a striking cartoonish purple with oversized lapels.

On the right, a nurse character is depicted, wearing a traditional nurse’s outfit with a retro cap adorned with a bright red cross. She holds a clipboard in one hand and a balloon shaped like a giant stethoscope in the other. Her expression is animated, with wide, sparkling eyes behind large, rounded glasses.

In the background, an ER setting comes to life with playful details: an exaggeratedly large red “Emergency” sign above swinging doors, comical medical charts scattered on the walls, and a whimsical heart rate monitor with squiggly lines, almost as if it’s doodling its own merry tune.

The scene is set against a bright, hospital-blue background with scattered clouds that resemble cotton candy, giving a light and airy feel. Dotted around are cartoonish streamers and confetti in an array of rainbow colors, completing the celebratory atmosphere.

Generated with these themes: MANAGER, NURSE, and ER.

Made with ❤️ by AI.