Hello Aspirant, 

Seeing far to previous years cutoff, it is quite difficult for you to get a seat in government medical colleges. As previous year NEET 2018 cutoff is starts around range of 421 and goes upto 526 for government colleges.

However, this year cut offs may be varies. Also, you can apply for private colleges there, as you have some chances to get a seat in private medical college.

Hope this will helps you. 

Thank you.