extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 12/05/2022 R22-068455 DOB: Date Received: Requesting Facility: 09/14/1956 (66) 12/07/2022 NAME_2 Family Medicine Gender: Date Reported: Requesting Physician: NAME_3#: 44D2111056 Female 12/09/2022 NAME_4 Lab Director: NAME_5 ICD Code(s): Collection Time: U07.1 3:05PM Status: Final Please answer in JSON format.
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