With 279 marks in NEET 2025, OBC category, AIR 5 lakh, and OBC rank 2 lakh, it is very difficult to get B.Sc. Nursing or GNM in IGIMS (Patna) because it is a top government institute and the cut-off is usually much higher. But you can still get B.Sc. Nursing or GNM in other government or private colleges through state-level counselling (like Bihar BCECE UGMAC) or private college quota.