best quality, high quality, anime screencap, anime coloring, m1r4k1, 1girl, solo, long hair, blue hair, blunt bangs, blue hairband, blue eyes, black nurse dress, red cross armband, black thighhighs, white nurse cap, fisheye perspective, holding giant syringe, unhinged manic smile, abandoned asylum background, peeling paint, flickering lights, detailed environment

multiple views, lowres, bad quality, sketch, worst quality, low quality, bad anatomy, bad hands, bad fingers, 4koma, censored, jpeg artifacts, 3d, text, speech bubble, english text, chinese text, loli, shota, scan artifacts, signature, twitter username, extra digits, fewer digits, kid, aged down,