The equation of the tangent line to ellipse at the point $(x_0,y_0)$ is $y-y_0=m(x-x_0)$ where $m$ is the slope of the tangent. This is given by $m=\frac{dy}{dx}|_{x=x_0}.$ (Note that at $x=\pm 4$ this doesn't work, because at such points the tangent is given by $x=\pm 4.$) Taking derivatives we get $\frac{x_0}{8}+\frac{y_0}{2}\frac{dy}{dx}|_{x=x_0}=0,$ that is, $\frac{dy}{dx}|_{x=x_0}=-\frac{x_0}{4y_0}.$ So the equation of the tangent line is
$$y-y_0=-\frac{x_0}{4y_0}(x-x_0).$$
If we assume that the point $(4,6)$ belongs to this line then
$$6-y_0=-\frac{x_0}{4y_0}(4-x_0) \implies 24y_0-4y^2_0=x^2_0-4x_0. $$ Since $(x_0,y_0)$ belongs to the ellipse, we have to solve the system
$$\left\{\begin{array}{rcl} \displaystyle x_0^2+4y^2_0 & = & 16\\ x_0^2+4y_0^2-4x_0-24y_0&=&0\end{array}\right.$$ This system has two solutions. One solution is $(4,0)$ and we know that the tangent at this point pass through $(4,6).$ The other solution is $\left(-\frac{16}{5},\frac{6}{5}\right).$ So this is the other point that satisfies the given condition.