Art style: Cinematic Realistic.
static shot, 9:16, 35mm, eye-level, hands only, no face in frame, an anonymous medical hand in a crisp white doctor coat sleeve forcefully slams a heavy vintage ink stamp onto a formal insurance paper form, imprinting a prominent sharp green ink German text «GENEHMIGT», sitting on a clean consultation desk beside a silver medical stethoscope and the edge of a thick cardboard patient chart folder, clinical cool indoor lighting, clean desaturated tones, photorealistic, cinematic lighting, shot on 35mm film, 4K.
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FINAL STYLE ENFORCEMENT (this is the authoritative rendering directive — it overrides any style wording elsewhere in the prompt):
Render this image entirely in "Cinematic Realistic" style. Match the lighting grammar, material response, colour science, level of realism / stylisation, line weight, and shading model typical of "Cinematic Realistic". Keep the subject, composition, camera angle, lighting direction, and colour palette from the description above — but EVERY surface, skin, fabric, material, and environmental element must be rendered in the "Cinematic Realistic" idiom, not in any other medium.
