all fours on medical bed, (white nurse outfit : 1.3), white skirt, (white nurse hat), medicalroom, Nijou Aki, 27 yo, mature women, anime cels style, best quality, high resolution, (big breasts), cowboy shot，long legs，thick legs，narrow waist，fat hip, blush, smiling, (purple eyes), blue hair，back to the view，big round ass，horse ass，thong，t-back，Thong，show her ass，pants，bare shoulders，

(worst quality,low quality:1.4), (depth of field,blurry:1.2), (greyscale,monochrome:1.1), cropped, lowres, text, (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))), {{{Too many eyelid wrinkles:2}}}, artist name, date, footer, header, signature, stamp, subtitle, text, title, username, watermark,