extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 01/03/2023 R23-000108 DOB: Date Received: Requesting Facility: 02/11/1962 (60) 01/05/2023 NAME_2 Family Medicine Gender: Date Reported: Requesting Physician:   Male 01/06/2023 NAME_3   ICD Code(s): Collection Time: U07.1 2:00PM   Please repeat the request first, then give your response.
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