Even when there is no birth certificate, the qualification certificate discloses the correct date of birth. It is sufficient.
Govt. General Hospital can only issue facts on the public record and based on this Birth Registrar issues certificate.
The hospital authorities intimate such birth to Registrar.
If the certificate is a fake, then only it becomes a fraud. When a birth certificate is issued by the Registrar of Births, no one can doubt a public record. It prevails as ultimate and if there is any mistake, the Registrar of birth takes the responsibility. This is precisely the reason the registrar obtains a notarized affidavit with the attestation of two gazetted officers.
During the olden days, there is no such system of registering birth when the deliveries are confined to homes and in specific villages.