For General Category, the qualifying score is 50 percentile of the top NEET score. Last year, it was 134-701. Now 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. Now with 200 as a score, you cannot get a seat in a Government Medical College. GMCs for General Category will need nothing less than 500-575. Now Private Medical Colleges do not participate in All India Counselling and the seats are filled through State Counselling alone. And for appearing for State Counselling you need to hold the domicile of that particular State. Or else the only other option is through Management Quota. Under All India Quota, All the 15% of All India Quota Seats except for Jammu and Kashmir, 100% Seats at Deemed and Central Universities, IP Quota seats in ESIC Colleges, Seats at AFMC are filled by DGHS. The 85% State Quota and Private Colleges are filled by the respective State Authorities. And there are 3 Categories in Private Medical Colleges. Category A is the Government Quota Seats. And only candidates of the home State are eligible to apply for these seats. B Category seats are also called Management Quota Seats and they are filled through State Counselling and the remaining seats are filled  through Direct Admissions by contacting the College. Here the fees is usually nothing less than 40 lakhs. The last Category is NRI seats Category and you cannot apply for that. With 200, you might have a chance through Direct Admission by contacting the Administration. Thats your only chance.