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If you are from General category, than it is very hard to get admission in any government college. But if you belongs to other category, than you have a chance to get a government seat. So, it will only depends upon your category with 493 marks in NEET.
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Hey there
You have got a good score but the cutoff has increased this year. Still You have chances of getting a government medical College in Maharashtra some of the colleges you have chances are
Sri Vasant Rao naik government medical College, Yavatmal. Previous year cutoff was 400 in general category.
Check Maharashtra neet cutoff
https://www.google.com/url?sa=t&source=web&rct=j&url=https://medicine.careers360.com/articles/neet-cutoff-maharashtra/amp&ved=2ahUKEwjaxc__wtTiAhVc8XMBHXpGClsQFjAAegQIARAB&usg=AOvVaw03Ryzk5qiAYdhlkLx7DRA9&cf=1&cshid=1559812806265
Check our college predictor
https://www.google.com/url?sa=t&source=web&rct=j&url=https://medicine.careers360.com/articles/neet-college-predictor/amp&ved=2ahUKEwiFg_W5wtTiAhVCmuYKHVy4BA8QFjAAegQIBBAB&usg=AOvVaw38Pe-X19VLTTS6dO4yyLxi&cf=1
Good luck
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