Who does not love polar bears? And the receiver of this birthday card surely did. And this card, not that difficult. First googled an image of the polar bear. Second, googled images of a drink he could hold and a hat he could wear. Got it printed separately, and cut and paste. Literally.
If you are good at Photoshop though, you could make him wear the hat and give him the drink in the image itself. No literal copy paste.