There is a pen and a book on a table with a clock

Doctor's note with date 11/03/23

3d, cartoon, anime, sketches, (worst quality, bad quality, child, cropped:1.4) ((monochrome)), ((grayscale)), (bad-hands-5:1.0), (badhandv4:1.0), (easynegative:0.8), (bad-artist-anime:0.8), (bad-artist:0.8), (bad_prompt:0.8), (bad-picture-chill-75v:0.8), (bad_prompt_version2:0.8), (bad_quality:0.8)