With a NEET score of 284 and an All India Rank of around 4,89,000 under the General EWS category, your chances for admission in MBBS or BDS in government medical colleges are quite limited, as the cutoff for these seats is usually much higher—even with EWS reservation.

But you may be able to secure a BAMS (Ayurveda) or BHMS (Homeopathy) seat in private colleges or lower-ranked government AYUSH colleges, especially during the later rounds of counselling. These courses generally have lower cutoffs, and EWS reservation can slightly improve your chances, especially in your home state quota.

In the case of BPT (Physiotherapy), B.Sc. Nursing, or B.Sc. Allied Health Sciences programs, many institutions offer admissions based on NEET score or just Class 12 merit. Your NEET score can still help in getting admission to some of these paramedical courses in private or semi-government colleges.

It’s also a good idea to apply through state counselling, where cutoffs are sometimes lower than All India Quota. States like Uttar Pradesh, Bihar, and Madhya Pradesh often have seats in private AYUSH colleges for candidates in your rank range.

You got 284 marks and AIR 489000 under General EWS so you can get admission in some private or government diploma polytechnic courses based on state counselling you can choose branches like civil mechanical electrical if rank allows you can apply in lower quota seats or lateral entry in second year diploma later you can try for degree after diploma