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, Yellow ribbon, large breasts, hair ribbon, nurse, nurse cap, red hospital, pink costume, blush, down arms,

cross, 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,