Dear Ayush, in 2018, under State Quota, GMC, Khandwa gave a seat to General Category with 493 marks. Considering 438 marks as your expectant score, it is difficult for a seat in a Government Medical College. But you have a chance in Private Medical Colleges with that score. Having said that, cut offs change every year and are dependant on various factors like no.of seats available, no.of candidates appearing for the exam, top NEET score and difficulty of the exam. You can also check the cut offs of various different colleges under your category at:

https://medicine.careers360.com/articles/neet-cutoff-mp/amp