Generating mol files from a molecular structure image?
The MOL format specification doesn't specify an origin, so presumably any origin can be chosen, as long as the coordinate values are within the allowed range. (The format allows a range of roughly -10,000 to +100,000, but I don't know if all programs support that large a range.) For example, in one of the examples in the specification the atom closest to the origin is over 17.6 units away. Where the origin is actually set would depend on the software used to create the file.

The coordinates for each atom specify the nucleus of the atom. I think you have a misconception about atomic size. The size of an atom, and thus the space it takes up, can be defined in different ways. The representation of an atom as a sphere (with the nucleus at the center) is a convention, only approximating reality, and the size of the sphere is arbitrary (but usually based on measurable properties). The nucleus is the only point in the atom that has a well-defined location, and thus the only part that meaningful coordinates can be defined for.

In MOL files, the presence of hydrogen atoms can be implied from valence and number of other bonds. (They can also be specified explicitly if needed.) In the long set of zeros at the end of each atom line (just after the element), the fourth zero specifies to add however many single bonds to hydrogen atoms are needed for the atom's valence. The sixth zero indicates to use the element's normal valence. For example, the carbon of the $\mathrm{CH_3}$ group has only one explicit bond, so three bonds to hydrogen are implied by carbon's normal valence of 4. How implicit hydrogens are handled depends on the software (e.g., this molecule has four implicit hydrogens that, per the usual convention for skeletal formulas, are not shown in your image).

The specification for the MOL format is available from Accelrys. The this answer is based on the specification and my knowledge of chemistry. Also, it only describes the MOL V2000 format, which is what you sample file is (based on the header); there is a newer V3000 format.