Now this is puzzle design 
For context, I'm playing Tormented Souls which is a 2021 Chilean indie game that uses the classic Resident Evil/Silent Hill formula. It's got some decent puzzles too but then you have ones like these where you're just solving random pictograms. I get many of the puzzles in those old games were pretty arbitrary too but a bit of theming goes a long way. How's this fit a Victorian mansion turned hospital
Could be, but the hints just being taped right next to the puzzles like this feels really starkly video game-y. Here's another similar puzzle and you'll see what I mean by them feeling random and disconnected from the game's setting
Also here's the solution because I think it's actually a pretty cute puzzle on its own merits (these puzzles require you to match the symbols on the door to the symbol dials on the key)