While I never searched for elements manually before, searching strings did work on the problematic files in Preview.
One extraction element is to grab the 2nd occurrence of a date (the date of the exam), however it mistakingly grabs the first that is a birthdate
Another extraction is a name that comes on a line before the string 'MRN", however it incorrectly grabs the line above the name
A third extraction is capturing a number following that same MRN occurrence - that does work correctly