We study the distribution of singularities (poles and zeros) of rational solutions of the Painlev'e IV equation by means of the isomonodromic deformation method. Singularities are expressed in terms of the roots of generalised Hermite and generalised Okamoto polynomials. We show that roots of generalised Hermite and Okamoto polynomials are described by an inverse monodromy problem for an anharmonic oscillator of degree two. As a consequence they turn out to be classified by the monodromy representation of a class of meromorphic functions with a finite number of singularities introduced by Nevanlinna. We compute the asymptotic distribution of roots of the generalised Hermite polynomials in the asymptotic regime when is large and fixed.

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