This design features a graphic design with a white background. At the top, there is a green sign with the text "BIRTHDAY" in white capital letters. Below this, there is a large, stylized number "123" in blue, with a small, yellow "123" sign above it. To the right of the number, there is a cartoon character resembling Elmo from Sesame Street, depicted with a red mouth and a yellow nose. The character is smiling and has a red, fuzzy hair. The overall style of the image is playful and colorful, with a clear focus on the theme of a birthday celebration.