masterpiece, best quality,highres,(mdf_an:0.7),(alp:0.6),(pija:0.7),1girl,shirakawa_miho,blue eyes,brown hair,single hair bun,medium breasts,nurse,holding clipboard, nurse_cap ,worried,looking at viewer,:o,hand between legs,leaning forward,from below,hospital,<lora:shirakawa_miho-illus:0.9>,solo

(text), chibi, aged down, (child), (loli), lowres, bad quality, worst quality, low quality, bad anatomy, jpeg artifacts, signature, watermark, (multiple views),bad proportions, username, bad hands, mutated hands, mammal, anthro, furry, feral, semi-anthro,speech bubble,dialogue box,3d,oiled skin,simple background.