1girl, solo, mizumiyanene, blue hair, long hair, twintails, purple eyes, hair ribbon, nurse, pink nurse uniform, hat, outdoors, garden, :o <lora:mizumiyaneneingokuXL:1>

score_6,score_5,score_4, lowres, bad anatomy, bad hands, text, error, missing fingers, extra digit, fewer digits, cropped, worst quality, low quality, normal quality, jpeg artifacts, signature, watermark, username, blurry, artist name, from above, bag