extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 12/01/2022 R22-068344 DOB: Date Received: Requesting Facility: 11/25/2015 (7) 12/05/2022 NAME_2 Family Medicine Gender: Date Reported: Requesting Physician:   Female 12/05/2022 NAME_3   ICD Code(s): Collection Time: U07.1 10:00AM  