1girl, anna_(watamote), blonde_hair, bow, bowtie, breasts, bright_pupils, brown_eyes, buttons, collarbone, grey_background, hospital_king, large_breasts, looking_at_viewer, medium_hair, open_mouth, purple_bow, purple_bowtie, school_uniform, sidelocks, simple_background, smile, solo, upper_body, watashi_ga_motenai_no_wa_dou_kangaetemo_omaera_ga_warui!, white_pupils