The attacks came as Kyiv accused Russia of rejecting a US-backed ceasefire proposal and reported a barrage of strikes on civilian infrastructure hours after Moscow agreed to pause attacks on energy facilities.
The Ukrainian air force said its air defence units downed 72 of 145 drones but it did not make any mention of the missiles.
The prosecutor general's office said a hospital in the north-eastern Sumy region had been struck late Tuesday and that 21 staff and 147 patients were at the facility at the time of the attack.
Prosecutors said a 29-year-old man was killed and that three other residents were wounded in a separate Russian attack on a residential building in the region bordering Russia.
Another hospital nearby was repeatedly hit when 11 employees and 49 patients were sheltering, they added.
"The hospital premises were heavily damaged, a fire broke out," they said.
The Ukrainian national railway service said a railway energy infrastructure had been struck in the central Dnipropetrovsk region with drones. Services were not interrupted, they added.
"So much for a pause in the attacks on the energy sector or an energy truce executed by the enemy!" the railway said in a statement.
Outside the capital Kyiv, where AFP journalists heard air defence systems targeting Russian drones overnight, one man -- a French citizen -- was wounded in Bucha.
Several vehicles and buildings were damaged in the attack on the Kyiv suburb that was occupied by Russian forces shortly after they invaded in February 2022.
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