best quality, high quality, anime screencap, anime coloring, m1r4k1, 1girl, solo, long hair, blue hair, blunt bangs, blue hairband, blue eyes, blue blazer, white shirt, long sleeves, buttons, neck ribbon, yellow ribbon, ribbon, blue skirt, pleated skirt, black pantyhose, 3/4 view, sitting at desk, holding clipboard, focused analytical expression, medical office background, anatomical charts, desk lamp, detailed environment

multiple views, lowres, bad quality, sketch, worst quality, low quality, bad anatomy, bad hands, bad fingers, 4koma, censored, jpeg artifacts, 3d, text, speech bubble, english text, chinese text, loli, shota, scan artifacts, signature, twitter username, extra digits, fewer digits, kid, aged down,