With an All India Rank (AIR) of 153300 and belonging to the OBC-NCL category in Assam, your chances of getting into a government medical college through the state quota are moderate to low. While it's not impossible, securing a seat in a top-tier college is unlikely. You should definitely apply through the Assam state counseling process and also consider other options like private medical colleges.

Predict college here :-

https://medicine.careers360.com/neet-rank-predictor