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What happens in case of outland family class sponsorship cases? Can a previous upfront medical be accepted if he is in Canada as visitor?

I received a Medical Request for my husband's outland PR file from IRCC on July 25th, 2024. He is in Canada as visitor and landed on 29th April. He did an upfront medical on April 15th, 2024 in Bangladesh targeting the application for open work permit which I applied when he was in Canada on May...