(nurse), (The background is the operating room), (nurse), Hatsune Miku, (masterpiece), highest quality, 1girl, uhd, retina, masterpiece, ccurate, anatomically correct, textured skin, super detail, high details, high quality, best quality, highres, 4K

(low quality, worst quality:1.4), extra limbs, missing limb, extra digit, fewer digit, missing digit, missing finger, fused fingers, mutated hands and fingers, mutated, text, bad anatomy, long neck, long body, deformed mutated disfigured, missing arms, extra arms, mutated hands, extra legs, bad hands, poorly drawn hands, malformed hands, missing limb, floating limbs, disconnected limbs, extra fingers, bad fingers, liquid fingers, poorly drawn fingers, missing fingers, extra digit, fewer digits, ugly face, deformed eyes, partial face, partial head, bad face, inaccurate limb, cropped, multipul angle, two shot, split view, grid view