Dear Aditya, in 2018 under State Quota, 493 marks secured a seat in GMC, Khandwa under General Category. That was the cut off. With 489 marks, it is tad difficult for EWS Category. It will be a close call.  For now the cut offs for General Category and EWS are being considered the same. Goin with that notion,  your score might be little less for a seat in a Government Medical College. Having said that, cut offs change every year and are dependant on various factors like no.of seats availble, no.of candidates appearing for the exam, top NEET score and difficulty of the exam. You can check the cut offs of each college at:

https://medicine.careers360.com/articles/neet-cutoff-mp/amp

You can also use our College Predictor services to check your options:
https://medicine.careers360.com/neet-college-predictor?utm_source=google-search&utm_medium=paid&utm_campaign=neet-clgpd

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