general,highres, ultra-detailed,very aesthetic,best quality ,best hands, BREAK <lora:Tenkawa_Ayumi_IS:1>Tenkawa_Ayumi, 1girl,solo, blue hair, ponytail, green eyes, large breasts, nurse, nurse cap, hospital room, pink costume, blush, down arms,

cross, hair ribbon, lowres, bad anatomy, bad hands, text, error, missing fingers, extra digit, fewer digits, cropped, worst quality, low quality, normal quality, jpeg artifacts, signature, watermark, username, blurry, artist name,