19. If the Council is satisfied —
(a) that a title granted or qualification certified by a University, Medical Corporation, examining body or other institution is a sufficient guarantee that persons holding such title or qualification possess the knowledge and skill requisite for efficient practice of medicine, surgery and midwifery, or
(b) that a title or qualification referred to in Article 3 of the Schedule is not a sufficient guarantee as aforesaid,
it may make a report to that effect to the [State Government] which may, if it thinks fit, thereupon direct, by notification in the [official Gazette] —
(1) in case (a), that the possession of such title or qualification shall, subject to the provisions hereinafter contained, and on payment of such fee as may be prescribed in this behalf by regulation made under section 34 (3) (b), entitle a person to have his name entered in the register of medical practitioners, or
(2) in case (b), that the possession of such title or qualification shall not entitle a person to have his name entered in the said register; and the schedule shall thereupon be deemed to be altered accordingly.