I coloured the image with markers and stamped on the patterned paper. I went over the stamped image with a water brush to give the watercolour effect. I stamped the sentiment, cut the tag shape and framed it with a piece of cardstock. I layered these onto a card base and added the bow.
Here are the products I used:
Gina K Designs: Cardstock-Green Grass and White; Patterned Paper-Delicate Essentials; Stamps- Happy Birthday to You set
Ink: Memento Tuxedo Black
Water Brush: Tim Holtz
Ribbon and markers from my stash