Russian forces hit a medical center in Sumy in northeastern Ukraine on Saturday morning then struck again as the building was being evacuated, killing a total of nine people, Ukrainian officials said.
Ukrainian prosecutors said that at the time of the attacks, 86 patients and 38 staff members were in the hospital.
"The first attack killed one person and damaged the ceilings of several floors of the hospital," Interior Minister Ihor Klymenko said on Telegram.
As people were being evacuated, the Russians struck again, killing a further five people, he said.
Ukrainian emergencies service later said nine people were killed and 10 wounded in all.
"Everyone in the world who talks about this war should pay attention to where Russia is hitting. They are fighting hospitals, civilian objects, and people's lives," Ukrainian President Volodymyr Zelenskiy said on Telegram.
"Only force can force Russia to peace. Peace through force is the only right way."
Klymenko did not specify what weapons were used in Saturday's attacks but the regional administration and air forces said the strike was carried out by drones.
Attacks on Sumy city and the Sumy region have become much more frequent since Ukrainian forces launched an operation in Russia's Kursk region in August and captured dozens of settlements.
Sumy city is located just 32 km (20 miles) from the Russian border and Russian forces, which began a full-scale invasion of Ukraine in February 2022, have been attacking the region and the city with drones and guided bombs.
Ukrainian air forces earlier on Saturday said they had shot down 69 of 73 drones during an overnight Russian attack that included two ballistic and two cruise missiles.
About 15 Russian attack drones were destroyed by air defences in the capital Kyiv and on its outskirts, the military administration there said.
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