I believe they can do medical as well as PCC (via Indian consulate/BLS Canada) from Canada itself.I'm in the same boat. I got the lottery in Oct/2021 and I submitted my application on Nov/13/2021. My parents are planning to make a trip to Canada for summer 2022 on visitor visa. Wondering if I get an invite for (1) Medical (2) PCC while my parents are in Canada, can both Medical + PCC be done in Canada ? OR, should they have to return to India and complete the process ???