score_9, score_8_up, score_7_up, source_anime, solo, 1girl, haganemiku, looking at viewer, claw pose, smile, open mouth, tongue out, aqua hair, twintails, nurse cap, blue eyes, constricted pupils, eyeshadow, nurse, white dress, short sleeves, white gloves, white thighhighs, garter straps, indoors, hospital <lora:vocaloid_haganemiku_ponyXL:1>