extract the information in bullet form Patient Name: Date Collected: Accession Number: NAME_1 12/28/2022 R22-069686 DOB: Date Received: Requesting Facility: 09/17/1999 (23) 12/29/2022 Swift Health Urgent Care Gender: Date Reported: Requesting Physician:   Female 12/30/2022 NAME_2   ICD Code(s): Collection Time: Z20.828, J06.9 10:00AM