According to NTA guidelines, Your Passport size photograph should be size: 10 kb to 200 kb Post Card size photograph should be 4”X6” Size: 50 kb - 300 kb. As long as you meet the size guidelines, even the photo is different and recent one it is still ok. This will not create any problems. For any help or guidance during counselling, use our MBBS Companion: https://www.careers360.com/mbbs-companion