These designs can be printed in the required size to suit the garment. After printing the design on the paper it can be traced on a tracing sheet to make perforations. I have already explained 2 methods that can be used to transfer the design on the fabric, check the link below in case you have missed that post.
Design Transfer Techniques
Check Knotty Threadz Online Store for Aari or Maggam Work Materials.
Buy Yellow Carbon to transfer the design to the fabric.