If you are a UP candidate with a NEET 2024 rank of around 19,000, it is a strong position to secure a government MBBS seat under the 85% state quota. Many government medical college in Uttar Pradesh have closing ranks between 20,000 to 27,000 so your chance in state counselling are good. However, getting a seat under  15% All India Quota might be a bit difficult, as cutoffs there are usually lower. Still, it’s important to apply for both AIQ and state counselling. Using a college predictor tool can help you shortlist the best options. Overall this is a decent rank that gives you a fair opportunity for MBBS admission.