extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 11/30/2022 R22-068282 DOB: Date Received: Requesting Facility: 10/02/2002 (20) 12/01/2022 Medlife Urgent Care Gender: Date Reported: Requesting Physician:   Male 12/02/2022 NAME_2   ICD Code(s): Collection Time: R05.9 10:00AM  