2girl, 19 years old, large breasts, triple D cup breasts, round buttocks, bubbly buttocks, wide hips, bubbly ass, nurse, nurse cap, White nurse uniform, ((white legwear, zettai ryouiki)), white gloves, twin tails, yellow hair, purple eyes, anger, syringe in hand, standing, ((hospital room)), sharp outline, short sleeve, highest quality, masterpiece

(worst quality,low quality:1.4), (depth of field,blurry:1.2), (greyscale,monochrome:1.1), 3D face, cropped, lowres, text, (nsfw:1.3), (worst quality:2), (low quality:2), (normal quality:2), normal quality, (grayscale), skin spots, acnes, skin blemishes, age spot, (ugy:1.331), (duplicate:1.331), (morbid:1.21), (mutilated:1.21), (tranny:1.331), mutated hands, (poorly drawn hands:1.5), blurry, (bad anatomy:1.21), (bad proportions:1.331), extra limbs, (disfigured:1.331), (missing arms:1.331), (extra legs:1.331), (fused fingers:1.61051), (too many fingers:1.61051), (unclear eyes:1.331), lowers, bad hands, missing fingers, extra digit, bad hands, missing fingers, (((extra arms and legs)))