Hello,

At a neet score of 181  you have no chances at government medical colleges  under both all india quota and state quota as the cutoff is around 550+  and also this year cutoff has increase significantly.

you can still apply for private or deemed institutions with a annual fee of around 10lakh to 20 lakh per annum or drop a year and prepare and take the neet 2021.

You can use careers360 college predictor to know the colleges you can get at your NEET score:- https://medicine.careers360.com/neet-college-predictor?icn=QnA&ici=qna_answer