extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1. 12/27/2022 R22-069567 DOB: Date Received: Requesting Facility: 09/03/1997 (25) 12/28/2022 NAME_2 Family Medicine Gender: Date Reported: Requesting Physician:   Female 12/29/2022 NAME_3   ICD Code(s): Collection Time: U07.1 2:00PM   Do not include the following keywords: date, accession, u07.1, physician
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