Dear Haj Mehdi, it is a good sign, as soon as they receive the Medical they will send you the PPR...so I think in a month time...BTW, my hubby did his Medical in September as well, and my PM told me that they will ask him to renew his medical though in the GCSM Notes that I receive in November infront of his medical it was written "Med-Extension Requested-Paris"...so I don't know if it was extended or not...but be positive,,,it is a good sign....inshalah you will get the PPR email soon after you send the Medical.