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Ah. I started with a very small hospital. Fortunately, the diseases that require special machine rooms didn't show up right away, making it a lot easier to save space. Your highest demand initially will be the pharmacy, so make sure you build two of those in your starting block. That will also increase your initial income, since you're curing twice as many patients in the same time.
Set your prices up to about 20% initially. This will stop your reputation going up too quickly and flooding you with more patients than you can handle. Make sure to check back on that every now and then, because when you diagnose new diseases, the treatment cost is initially default.
Don't worry about the objectives right away, you can deal with them at your leisure, better to have a stable, functional hospital before you hit on that.
Your first expansion should be the smallest one, immediately above and to the right of your starting facility. It's size will allow you to fit 4x4 rooms along the bottom and 3x3(or 4x3) rooms along the top, with a narrow corridor between. It's a tight fit, but you'll probably start needing some of those fancier treatment facilities at this point, so it's a great place to put treatment rooms ONLY to prevent overcrowding.
Facilities I had to build, in order, based on what I have here:
Injection room - Fracture Ward - Pan's Lab - Chromatherapy - Resolution Lab
There will be other diseases showing up as you progress, but don't panic if you don't have the space to treat them. Keep nudging your prices up and you'll start making plenty of money.
Most hospitals I usually run at +60% prices from quite early on, simply to stop me getting overwhelmed with patients.
You are lucky your patients showed for pharmacy. Mine mostly turned up for injections, 8-bit, the zombie mummies, turtle heads, surgeries and most high treatments. Must be my luck then!