@juggernautsei i had a similar problem on a fresh server with a fresh install of oemr7. My issue was that the php modules for zip files weren’t installed.
See this post:
Kofi,
your assumption is incorrect. Since the newly downloaded code comes with the patch. There is no need to download the patch separately. So, there was no reason in my mind to run the sql_patch.php file.
I ran the sql_patch.php file as suggested by your comments. Then I removed the recommended files. That worked.