(score_9), (score_8_up), (score_7_up), (score_6_up), (score_5_up), (score_4_up), (masterpiece), CharacterSheet, multiple views, full body, upper body, reference sheet:1, best quality, detailed eyes, 1girl, orc, large breasts, green skin, brown eyes, long hair, black hair, ponytail, undercut hairstyle, shaved sides, nurse outfit, nurse outfit, compression shorts, lower tusks, smiling, standing, happy, holding clipboard, muscular, lots of muscles, tall