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Hey,
With this marks you won't be able to get admission in any government medical College. Getting a seat in private self financing Medical Colleges will be equally touch because the cut off last year was 480+. You can try for BDS course or management quota seats. Check the following link for further information.
https://www.google.com/amp/s/medicine.careers360.com/articles/neet-cutoff-kerala/amp
All the best
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