I'd have gone with a better English title, like 'After School at the Student Council' but the author helpfully wrote their own title, so I just went with that.
As for what 'Medical Record' refers to in the afterword, it refers to a previous work by the author that is unfortunately not uploaded here. It can be bought here: https://www.melonbooks.co.jp/detail/detail.php?product_id=109207
It's more EliNozo futanari action, except this time, Eli is an English teacher, and Nozomi is the school nurse.

- defski

Commissioned by Anonymous!

𝐑𝐚𝐰: /g/964792/8ab994e602/
𝐅𝐨𝐧𝐭𝐬: CCComicCrazy, Another, Selima, Letters for Learners

女男女男女男女男女男女男女男女𝐌𝐲 𝐜𝐨𝐦𝐦𝐢𝐬𝐬𝐢𝐨𝐧 𝐪𝐮𝐞𝐮𝐞 𝐢𝐬 𝐜𝐮𝐫𝐫𝐞𝐧𝐭𝐥𝐲 𝐅𝐔𝐋𝐋!女男女男女男女男女男女男女男女
女男女男女男女𝐘𝐨𝐮 𝐦𝐚𝐲 𝐬𝐭𝐢𝐥𝐥 𝐬𝐞𝐧𝐝 𝐢𝐧 𝐜𝐨𝐦𝐦𝐢𝐬𝐬𝐢𝐨𝐧𝐬, 𝐛𝐮𝐭 𝐞𝐱𝐩𝐞𝐜𝐭 𝐭𝐨 𝐰𝐚𝐢𝐭 𝐬𝐞𝐯𝐞𝐫𝐚𝐥 𝐰𝐞𝐞𝐤𝐬!男女男女男女男女男

女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男
男二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二女
女二二二二二二二二二二二𝐃𝐞𝐟𝐬𝐤𝐢 𝐢𝐬 𝐚𝐜𝐜𝐞𝐩𝐭𝐢𝐧𝐠 𝐜𝐨𝐦𝐦𝐢𝐬𝐬𝐢𝐨𝐧𝐬 𝐚𝐭 [email protected],二二二二二二二二男
男二二二二二二二二二二twitter.com/defski_moon, 𝐨𝐫 𝐭𝐡𝐞 𝐝𝐢𝐬𝐜𝐨𝐫𝐝 𝐭𝐚𝐠 defski#7971!二二二二二二女
女二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二男
男二二二二二二二二二二二二二𝐌𝐨𝐫𝐞 𝐢𝐧𝐟𝐨 𝐚𝐭: pastebin.com/raw/T61aaHQB二二二二二二二女
女二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二男
男二二二二二二二二二二二𝐃𝐨𝐧'𝐭 𝐡𝐚𝐯𝐞 𝐚 𝐜𝐨𝐦𝐦𝐢𝐬𝐬𝐢𝐨𝐧 𝐢𝐧 𝐦𝐢𝐧𝐝? 𝐉𝐮𝐬𝐭 𝐰𝐚𝐧𝐭 𝐭𝐨二二二二二二二二女
女二二二二二二二二二二𝐬𝐮𝐩𝐩𝐨𝐫𝐭 𝐭𝐡𝐞 𝐞𝐫𝐨𝐝𝐨𝐮𝐣𝐢𝐧 𝐜𝐚𝐮𝐬𝐞? 𝐂𝐨𝐧𝐬𝐢𝐝𝐞𝐫 𝐚 𝐝𝐨𝐧𝐚𝐭𝐢𝐨𝐧!:二二二二二二二二男
男二二二二二二二二二二二二二二二二二二二ko-fi.com/defski二二二二二二二二二二二二二二二二二二二二二女
女二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二二男
男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女男女

This is great. I love Takano Saku

Base +6, Bobo6489 +6