Kuwait medical enquiry

Last week i got a selection of civil supervisor for one of the leading company in kuwait through client interview at chennai consultancy.
They said the entire process for kuwait visa,
2 weeks later company send a offer letter,after that have to proceed medical test & fees around Rs.12,000/-.
My doubt is simple,
do we need medical test before getting visa or after getting visa?

for kuwait,We need KHADAMAT medical test or GAMCA?

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