Let X be the binomial random variable denoting the number of patients.
Let p be the probability that the patient will recover and q be the probability that patient will die.
According to the problem, q = 75% = 0.75 and p = 25% = 0.25 and n = 6
P(X=4) = C46 * p4 * q2 = 15 * 0.254 * 0.752 = 0.03296
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