Top quality, photorealistic, 8k, high resolution, 1 girl, female, (medium breasts: 1.8), hospital, hospital teacher, doctor woman, lab coat, no panties, skirt up, ((sitting at desk and legs wide open)), knees bent and legs open, slightly shorter hairstyle, stockings, diagonal angle, unbuttoned shirt, chest open, navel, smooth and beautiful skin

(nsfw:1.5),nsfw, (huge breasts, big breasts, large breasts:1.8),(worst quality, low quality:2), normal quality,lowres,((monochrome)),((grayscale)),skin spots,acnes,skin blemishes,DeepNegative,facing away,tilted head,bad anatomy,bad hands,extra digit,fewer digits,cropped,signature,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