extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 11/30/2022 R22-068226 DOB: Date Received: Requesting Facility: 12/05/1957 (64) 12/01/2022 Rock Primary Care & Wellness Clinic Gender: Date Reported: Requesting Physician: NAME_2#: 44D2111056 Male 12/01/2022 NAME_3 Lab Director: NAME_4 ICD Code(s): Collection Time: Z03.818, I10 10:00AM Status: Final 