In Rajasthan, there are two types of seats for MBBS:

state quota (85 percent seats for students of Rajasthan)
management or paid seats (sometimes called semi-government)

For MBC category students, in 2024, the last seat in a government college was given to students with more than 650 marks. Even for semi-government or management quota seats, students needed at least around 590 to 600 marks.

Your score is 442, which is much lower than these cutoffs. So with this score, there is no chance to get a seat in a government or semi-government medical college in Rajasthan through the state quota.

But don’t lose hope. You can still try for private medical colleges in Rajasthan or other states where the cutoff is low. You can also explore BDS (Dental), BAMS (Ayurveda), BHMS (Homeopathy), or BPT (Physiotherapy) courses.