Remember that control connections are established on port 1723 and then actual data is transferred over GRE protocol 47.
If you have a NAT setup this will work without special forwarding or accepting of GRE packets (normally if you are not blocking outgoing connections and accepting established and related connections).
The below two commands will get things going so PPTP and GRE work
We first load the ip_nat_pptp module which allows PPTP to work with NAT and then we need to enable the connection tracking helper.
sysctl -w net.netfilter.nf_conntrack_helper=1
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