Narayana Medical College is a Private Medical College and in 2018, under State Quota, 426 marks secured a seat in NMC under OBC Category. Now you haven't mentioned your  Category and cut offs also change every year. Cut offs change every year depending on various factors such as no.of Candidates appearing for the exam, no.of Candidates qualified, top NEET score and difficulty of the exam. If you want a a seat in 2020 in this College, you should aim for atleast 500-550. To help you with your NEET preparation, we have NEET Knockout packages that you can check at: https://learn.careers360.com/knockout