best quality, masterpiece, 1girl, aakana, long hair, grey hair, twintails, ahoge, nurse cap, white headwear, x hair ornament, mole under eye, white dress, short sleeves, bandaged arm, white gloves, white apron, <lora:sukoya_kana_ilxl_v1:0.9>, standing, cowboy shot, holding syringe, smile, open mouth, fangs, leaning forward,
