An Armenian strike hit Barda City at about 1:30 p.m. on October 28. Dr. Vusal Mammadov, 40, the director and chief surgeon of the Barda Treatment and Diagnostic Center, said he was working at the center when “everything turned dirt, dust, and soil, and [we] lost all the windows.” A fragment from a second explosion wounded a nurse, Ramziya Guliyeva, leaving her unable to move her legs and damaged dialysis machines, and shattered glass cut 22 patients and staff, Mammadov said.

Human Rights Watch observed damage to the clinic, severe damage to a State Migration Service office, and to the windows and concrete perimeter wall of a sports complex, consistent with an explosive weapon with wide area effects. Clinic staff showed Human Rights Watch researchers on November 9 remnants of unguided Smerch rockets that produce blast and fragmentation effects, which they said they had collected from the clinic’s grounds from the attack. The attack was apparently part of the Smerch rocket barrage at 1:30 p.m. on October 28, which Human Rights Watch previously documented, that killed 21 civilians and wounded 70, with cluster munitions and parachute-retarded high-explosive fragmentation rocket.