[m0zg]

In Russia (and I suspect much of the rest of the world) you don't need to fake anything. You pay off the doctor and get a shot of saline instead, along with a totally valid record in the government DB. They catch them from time to time, but doctors there are paid laughably little money (as in nearly all countries with fully socialized medicine), so they do what they can to get by. Price of admission is between 3000 and 15000 rubles ($40-200) depending on where you are.