1girl, between_breasts, black_eyes, blonde_hair, blush, breasts, buttons, hime_cut, holding, holding_paper, hospital_king, katou_asuka, long_hair, medium_breasts, necktie, necktie_between_breasts, nose_blush, open_mouth, paper, purple_necktie, school_uniform, shirt, short_sleeves, smile, solo, starry_background, upper_body, very_long_hair, watashi_ga_motenai_no_wa_dou_kangaetemo_omaera_ga_warui!, white_shirt, yellow_background