extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1. 12/27/2022 R22-069575 DOB: Date Received: Requesting Facility: 05/10/1952 (70) 12/28/2022 NAME_2 Family Medicine Gender: Date Reported: Requesting Physician:   Male 12/30/2022 NAME_3   ICD Code(s): Collection Time: U07.1 3:30PM   Provide your response in exactly 6 paragraphs (separated nearby paragraphs with 3 aterisk symbols ***).
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