Dear Samar, under State Quota in 2018,  GMC, Khandwa gave a seat to OBC for 482 marks. With 440 marks, a Government Medical College is a tough job. It is a tad difficult even for Government Dental Colleges. There are around 10 Private Medical Colleges in Madhya Pradesh. You can get it in one of these colleges. Here is the compiled list.
https://medicine.careers360.com/colleges/list-of-medicine-colleges-in-India?f%5B0%5D=sm_college_degree%3AM.B.B.S.&f%5B1%5D=im_field_ownership%3A967&f%5B2%5D=sm_college_state%3AMadhya%20Pradesh

You can also check the cut offs of various Medical Colleges in MP at:  https://medicine.careers360.com/articles/neet-cutoff-mp/amp

Hello samar
With the score 440 domicile MP defineltly you will get the private medical college and also my suggestion you can opt for the goverment college as well
I hope you understood
Best of luck

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