Since I don't have the small tag punch I couldn't compare but I did with the large tag punch I have and I got it within a hair of being exact!
The birthday stamp was part of the set I got. I did have some problems lining up the stamp, but I used one of the better ones for the card. The flowers are prima and the brad in the middle is one I got from Eyelet Outlet. The butterfly punch is Martha Stewart *okie wonders if Martha even knows she offers this punch*. I have no idea what the paper is as it was some more scrap I had. I did use some mica for the large tag and the bottom layer of the butterfly, but you can't really see it. I really like this card! You can click on the picture for a closer look.