general,highres, ultra-detailed,very aesthetic,best quality ,best hands, BREAK <lora:Tenkawa_Ayumi_OVA_IS:1> Tenkawa_Ayumi_OVA, 1girl,solo, blue hair, ponytail, green eyes, Yellow ribbon, large breasts, hair ribbon, 2000s (style), anime coloring, nurse, nurse cap, red hospital, room, bed,

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,