[He gives her a confused look. His headache is starting to work it's way back, which isn't helping]
...Are you from Kyoto, then? [that's the best guess he has, really]
Other options:
no subject
[He gives her a confused look. His headache is starting to work it's way back, which isn't helping]
...Are you from Kyoto, then? [that's the best guess he has, really]