A cartoon picture of a nurse holding a note and pointing

nurse, best quality, 1girl, smiling, apron, big breasts, milf, mature, blue eyes

disfigured, kitsch, ugly, oversaturated, grain, low-res, Deformed, blurry, bad anatomy, disfigured, poorly drawn face, mutation, mutated, extra limb, ugly, poorly drawn hands, missing limb, blurry, floating limbs, disconnected limbs, malformed hands, blur, out of focus, long neck, long body, ugly, disgusting, poorly drawn, childish, mutilated, , mangled, old, surreal, text, by <bad-artist:0.8>, by <bad-artist-anime:0.8>, <bad-hands-5:0.8>, <bad_prompt_version2:0.8>, hair clip, hair accessories