If you look at flows.node-red.org there are nodes to take a photo using a Pi Camera. There are also nodes for use with telegram.
By reading the info for the different nodes you can see where in the msg object the camera node puts the image and also where telegram wants the image.
If these aren't the same you can use a change node to move the image from one to the other.
Once you have started, if you get stuck come back, post your flow and I'm sure someone will be able to help you further.
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