hinomoto madoka,touhou,mizuhashi parsee,1girl,:p,alternate costume,black pantyhose,blonde hair,breasts,clipboard,feet,female focus,from above,green eyes,green nails,hat,large breasts,looking at viewer,looking up,nail polish,no shoes,nurse,nurse cap,pantyhose,paper,pointy ears,scalpel,short sleeves,sitting,solo,syringe,tile floor,tiles,tongue,tongue out,yokozuwari