masterpiece, best quality, hospital room, blood splatters, blood smears, holding, holding needle, injection needle, looking at viewer, head tilt, <lora:Tsukihime NXL:1>1girl,shirakawa_miho,blue eyes,brown hair,single hair bun,medium breasts,nurse,holding clipboard, nurse_cap ,scary smile, glassy eyed smile, cheerful smile, bubbly pose, <lora:shirakawa_miho-illus:0.9>,solo