extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 01/03/2023 R23-000107 DOB: Date Received: Requesting Facility: 04/18/1971 (51) 01/05/2023 NAME_2 Family Medicine Gender: Date Reported: Requesting Physician:   Male 01/06/2023 NAME_3   ICD Code(s): Collection Time: U07.1 1:20PM  