There is nothing left of the outpatient department but a blackened shell, the metal skeletons of beds and the charred bones of their patients.
The first photographs from inside an Afghan hospital, operated by Médicins Sans Frontières, show the extraordinary power of destruction unleashed by an American AC-130 gunship in one terrifying hour.
Barack Obama has apologised to the charity for mistakenly attacking the medical facility in the northern city of Kunduz, as local forces battled Taliban fighters in the early hours of October 3.
So far, 22 people have been counted dead – including 12 MSF staffers and three children - although that figure is expected to rise.
Photographs taken by Andrew Quilty and published by Foreign Policy illustrate the powerful force that killed them.
“Above the doorways, black soot stains streaked up toward the ceiling. Throughout the building, on all visible surfaces, there were wild and sporadic arcs of bullet holes. In other places, larger rounds had penetrated straight through the walls, leaving gaps some 2 feet wide in the solid brick,” wrote Mr Quilty.”
“Contained within the high compound walls, the smell of rot permeated from the main central building. Inside, masses of flies hummed over charred human remains.”
It is hard to imagine how the stinking rooms once made up a thriving hospital. The trauma centre in Kunduz was the only medical facility in the region capable of dealing with major injuries and had received hundreds of casualties during the latest fighting.
MSF says its co-ordinates were well known to the Nato-led coalition providing air support to Afghan forces and has denied claims by local officials that the hospital was overrun by Taliban.
It says the attack may constitute a war crime and on Wednesday announced that an international panel of experts was ready to investigate.
Dr Joanne Liu, MSF international president, said: “We have received apologies and condolences, but this is not enough. We are still in the dark about why a well-known hospital full of patients and medical staff was repeatedly bombarded for more than an hour.
“We need to understand what happened and why."