extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 02/03/2023 R23-001418 DOB: Date Received: Requesting Facility: 02/15/1958 (64) 02/06/2023 Anytime MD Urgent Care Gender: Date Reported: Requesting Physician: NAME_2#: 44D2111056 Male 02/07/2023 NAME_3 Lab Director: NAME_4 ICD Code(s): Collection Time: R05 5:33PM Status: Final Please use JSON format in your answer.
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