A medical professional is performing a venipuncture on a patient in a clinical setting, located in Puebla, Mexico

A medical professional is performing a venipuncture on a patient in a clinical setting, located in Puebla, Mexico. The patient, partially visible on the left, has dark hair and one visible eye looking towards the camera. They wear a pink disposable face mask covering their nose and mouth, a bright red long-sleeved sweater, and two gold-colored necklaces: one with a small clear gemstone pendant and another with a rectangular, flat pendant. A silver-colored charm bracelet is visible on their right wrist. The medical professional, whose forearms and a portion of their white lab coat are visible, has a jade green bracelet on their left wrist. They are applying a blue fabric tourniquet to the patient's upper left arm. With their right hand, they hold a venipuncture needle assembly, which is inserted into the patient's antecubital fossa, and a yellow-capped vacuum blood collection tube, partially filled with blood, indicating an active or recently completed blood draw. White cotton balls or gauze are visible on the blue countertop near the site of the venipuncture. The immediate environment includes a white-painted wall with visible staining, particularly rust-colored marks, and a dark brown, possibly rusted, metal plate secured to the wall with two bolts. A white electrical outlet is mounted on the wall above the blue countertop. The procedure is conducted on or beside a blue examination table or countertop. On this counter, a red biohazard sharps container with an embossed pattern and a small metallic tray holding white material (likely cotton or gauze) are present. In the background, a stainless steel counter or cabinet is visible, holding a rack with multiple capped blood collection tubes. The facility appears operational but shows signs of wear.