Khawaja786 said:You must have email of July-2013 medical test and fee receipt of medical test.
You must send scanned images of both by email to London.
Also you can attached email response of IMO in which they are giving appointment due to above reason along with new medical request.
You have chance they will request test result from 2013 and send you PPR with that medical with extension.
Good luck!
Thanks for your response and I did the same thing, I hope if they can pull up from IMO Lahore to get the result.