Just got this email.
Dear Client,
This is in response to your email (see below).
Your application is currently in process and medical examination results have been received.
We thank you for your patience and for keeping your correspondence to a minimum.
Please note that we will be unable to reply to messages which do not include either the name AND date of birth of the primary applicant or the file number under which your application is being processed.
Regards,
Immigration Section
Canadian High Commission, Islamabad
P.O. Box 1042, Islamabad, Pakistan