The information in the index makes it straightforward to find the original birth record, if you know of what it is an index. In this case, it is quite self-explanatory, this is an index of centrally-archived births in the state of Massachusetts between 1916 and 1920.
You know that the birth was in the town of Worcester, archived in volume 178, page 92, of the statewide Massachusetts birth returns.
FamilySearch holds many historic vital records for the United States, and many are digitised and indexed. Searching the FamilySearch Catalog brings up:
Massachusetts, statewide birth records, 1916-1920
Scrolling down to volume 178, and paging through to page 92 finds the original birth record, which reveals:
- date of birth: 17 Jan 1919
- father: John Sciascio
- mother: Grace Monapoli
- and much more...