(((1 girl))), masterpiece, (photorealistic:1.4, realistic, real

(((1 girl))), masterpiece, (photorealistic:1.4, realistic, real), best quality, happy, smiling, perfect face, high resolution, ((teen, korean cute girl 18 years old, medium breasts)), (nurse uniform, cleavage, (stethoscope, needle, nurse hat, skirt), (sitting in hospital room, open spreading legs), (wave long hair), (thin waist), ((cowboy shot))

(nsfw:1.5),(nude,back,selfie,makeup),easynegative,ng_deepnegative_v1_75t,verybadimagenegative_v1.3,boring_e621_v4,bad-hands-5,negative_hand-neg,((monochrome,grayscale)),signature,(worst quality, low quality:2), normal quality,lowres,skin spots,acnes,skin blemishes,facing away,tilted head,bad anatomy,bad hands,extra digit,fewer digits,cropped,watermark,username,blurry,bad feet,poorly drawn hands,poorly drawn face,mutation,deformed,jpeg artifacts,,extra fingers,fewer digits,extra limbs,extra arms,extra legs,malformed limbs,fused fingers,too many fingers,long neck,polar lowres,bad body,bad proportions,gross proportions,text,error