hey shivakumar, with this score a goverment mbbs seat would be impossible to secure ,but you may have slighter chances of getting BAMS ,yes you can get BAMS in karnataka ,but due to this year's high cutoff the top medical colleges of karnataka kept their cutoff above 400 for state quota even for Bams for 1 st round.So, you can try your luck in next rounds or you can pick up any average ranked college.