Well in my case I am in Kabul, Afghanistan and I did my medical here in Kabul, then the physician sent my medical results to ND VO through DHL and I was able to get the tracking number from him, I kept tracking the package online and after 5 days the package was finally delivered to ND VO, after two days of package reaching ND VO I was able to see the line MEDICAL RESULTS HAVE BEEN RECEIVED in my ECASE online, as far as yours is concerned I think in Pakistan the physicians email the results to ND VO or there is an easy way they use called E-MEDICAL that results are uploaded to ND VO within a day, keep us updated as soon as you are able to see any change in your ECASE, also please note that getting early appointment from IOM Islamabad is difficult so you can advise BHAABI to get her medical done from LAHORE if possible, Good Luck!