BJ Medical college had cutoff around 545 for the obc category and let me know you that obc category is close to open category cutoff only just differs by 10-15 marks. And as I mentioned you at 219 marks even SC ST category reservation can't help you. Take a drop and come back With more stronger and greater marks next year as it seems you are passionate about doing MBBS. And make sure you don't repeat the mistakes you did this year which cost you with less marks this year. And improvise next year. It's a matter of time and once you achieve good marks next year, a drop or a year wasted such thoughts won't at all disturb your mind and you will be the most satisfied soul with your decision. 

Best wishes. Thank you. 

It's a government medical college brother and you can't even think of a given MBBS college at such marks. Even if you belong to some caste Sc St etc, you still cant get admission into BJ Medical college. BJ Medical college had 557 cutoff for open category, 440 for SC, 332 Dr ST and 488 for SE last year.  Even private medical colleges are difficult if you are from general category. Try for deemed universities. OR else take a drop and come back with more stronger and greater marks next year. 

Best wishes for ur future.