extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 12/27/2022 R22-069580 DOB: Date Received: Requesting Facility: 01/15/1964 (58) 12/28/2022 NAME_2 Family Medicine Gender: Date Reported: Requesting Physician: NAME_3#: 44D2111056 Female 12/30/2022 NAME_4 Lab Director: NAME_5 ICD Code(s): Collection Time: U07.1 1:45PM Status: Final