art by mrhotcakes, 1girl, tongue, twintails, solo, pink hair, hat, earrings, tongue out, piercing, tongue piercing, blush, nurse cap, hair ornament, looking at viewer, holding, nurse, long hair, hairclip, short sleeves, striped, ear piercing, open mouth, knife, tattoo, fangs, bangs, smile, necktie, cross, upper body, puffy sleeves, pink eyes, puffy short sleeves, striped background, striped shirt, blood, vertical stripes, teeth, nail polish, fingernails, holding knife, heart