Solution : https://service.sap.com/sap/support/notes/586074 (SAP Service marketplace login required)
Key words : 
software disribution center-> installations & upgrades   -> industry-specific components      -> public sector         -> patient management            -> sap patient management 4, 2002_2_620 required component support packagessap_basis  sapkb62017sap_aba    sapka62018sap_appl    sapkh47006sap_hr      sapke47010if, change history date topic short description 10/16/2003 4 iac, oss component xx-ser-swfl-ship, required componentssap_basis  620sap_aba    620sap_appl    470sap_hr      470pi, sapcar ' -xvf /qopt/<volid>/data/kish78g, sapcar -xvf /<cd_dir>/data/kish78g, 71 installation clearing table buffersthis measure, specific/issl/ish/space471, software distribution center
Related Notes : 
       
| 605628 | Add-On Support Packages and CRTs for IS-H 4.71 | 
| 605618 | IS-H composite note: Overview notes for Release 4.7 | 
| 603575 | Termination when creating a new pool w/ VARDATA length 0000 | 
| 212075 | Release strategy for IS-H |