I found this project on Splitcoast Stampers. You start with a 4-1/4" x 11" piece of cardstock, scored at 1/2", 3", 4" and 6-1/2". You can punch the upper corners if desired to round them. Fold along the score lines. Attach Designer Series Paper (3 pieces measuring 3/4" x 4", 2-1/4"x 4" and 3-1/4" x 4". Stamp sentiment on the 3/4" piece of DSP. Use the small oval punch to make an opening for the tissue. You can make a decorative edge by punching a piece of the cardstock with the small oval punch and then using the scallop oval punch to punch again giving you an oval scallop ring to glue to the edge of the oval opening. Attach flowers and leaves and pearls to the top.
Use a strong adhesive to glue the 1/2" tap of cardstock to make the holder. Insert the packet of pocket tissues.