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You have the chances of getting the govt. medical seat in Telangana state if you apply through the state quota counselling. Also the cutoff marks for the NEET 2018 for 85% state quota seats were 493 with the rank 24025 in Rajiv Gandhi Institute of medical Sciences, Adilabad. So I would suggeat you go for the counselling rounds by the state counselling committee and then you will be able to get your govt. seat in Telangana state. Also refer the link below for more information about the cutoff marks for the Telangana state govt. medical and dental colleges.
https://medicine.careers360.com/articles/neet-cutoff-telangana
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