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I believe they should be ok to use the old medical submitted earlier by you.

Just called IRCC to confirm my visa office and they confirmed its Edmonton for PVO and SVO is Sydney. Is there anyone with the same VO and similar or close time line like mine mentioned below :- CEC INLAND ITA - August 27th, 2024 AOR - Oct 15th, 2024 IME passed - Nov 28th, 2024 BIL - Nov 28th...

With New express entry rules we are suppose to submit new biometrics rest I am not sure. But my timeline is similar to yours not even a difference of a single day.