That's going to be nearly impossible. Read on for why.
The compiler will win this game, every time...
Compiling the same project twice in a row, even without making any changes to the source code or project settings, will always produce different executable files.
One of the reasons for this is that the PE (Portable Executable) format that Windows uses for EXE files includes a timestamp indicating the date and time the EXE was built, which is updated by the VB6 compiler whenever you build the project. Besides the "main" timestamp for the EXE as a whole, each resource directory in the EXE (where icons, bitmaps, strings, etc. are stored in the EXE) also has a timestamp, which the compiler also updates when it builds a new EXE. In addition to this, EXE files also have a checksum field that the compiler recalculates based on the EXE's raw binary content. Since the timestamps are updated to the current date/time, the checksum for the EXE will also change each time a project is recompiled.
But, but...I found this really cool EXE editing tool that can undo this compiler trickery!
There are EXE editing tools, such as PE Explorer, that claim to be able to adjust all the timestamps in an EXE file to a fixed time. At first glance you might think you could just set the timestamps in two copies of the EXE to the same date, and end up with equivalent files (assuming they were built from the same source code), but things are more complicated than that: the compiler is free to write out the resources (strings, icons, file version information, etc.) in a different order each time you compile the code, and you can't really prevent this from happening. Resources are stored as independent "chunks" of data that can be rearranged in the resulting EXE without affecting the run-time behavior of the program.
If that wasn't enough, the compiler might be building up the EXE file in an area of uninitialized memory, so certain parts of the EXE might contain bits and pieces of whatever was in memory at the time the compiler was running, creating even more differences.
As for MD5...
You are not misunderstanding MD5 hashing: MD5 will always produce the same hash given the same input. The problem here is that the input in this case (the EXE files) keep changing.
Conclusion: Source control is your friend
As for solving your current dilemma, I'll leave you with this: associating a particular EXE with a specific version of the source code is a more a matter of policy, which has to be enforced somehow, than anything else. Trying to figure out what EXE came from what version without any context is just not going to be reliable. You need to track this with the help of other tools. For example, ensuring that each build produces a different version number for your EXE's, and that that version can be easily paired with a specific revision/branch/tag/whatever in your version control system. To that end, a "free-for-all" situation where some developers use source control and others use "that copy of the source code from 1997 that I'm keeping in my network folder because it's my code and source control is for sissies anyway" won't help make this any easier. I would get everyone drinking the source control Kool-Aid and adhering to a standard policy for creating builds right away.
Whenever we build projects, our build server (we use Hudson) ensures that the compiled EXE version is updated to include the current build number (we use the Version Number Plugin and a custom build script to do this), and when we release a build, we create a tag in Subversion using the version number as the tag name. The build server archives release builds, so we can always get the specific EXE (and setup program) that was given to a customer. For internal testing, we can choose to pull an archived EXE from the build server, or just tell the build server to rebuild the EXE from the tag we created in Subversion.
We also never, ever, ever release any binaries to QA or to customers from any machine other than the build server. This prevents "works on my machine" bugs, and ensures that we are always compiling from a "known" copy of the source code (it only pulls and builds code that is in our Subversion repository), and that we can always associate a given binary with the exact version of the code that it was created from.
