extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 01/06/2023 R23-000343 DOB: Date Received: Requesting Facility: 06/18/1992 (30) 01/09/2023 Medlife Urgent Care Gender: Date Reported: Requesting Physician:   Male 01/10/2023 NAME_2   ICD Code(s): Collection Time: J06.9 8:32PM   Provide response in all capital letters, no lowercase letters allowed.
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