Could be from the petroleum from the cars. It looks like the missile hit right outside the parking lot. Most of the cars are burned through too.
Though I am not seeing images of a crater, and it looks like the hospital is still standing. If it was an airstrike, I would imagine there would be more physical damage. But that is just speculation of a air strike bombing run. I feel like there should be more rubble.
They went as far as to inflate the number of casualties,” he said.
Estimates given in a time of panic. But only a 200 casualty rate is fine. 201 and we'd have to send you off to the gulag.