With your NEET 2025 score of 468, All India Rank 94,389, and OBC category rank 45,702, it will be very difficult to get a government MBBS seat in Bihar.

In Bihar, government medical colleges usually close around 630 to 680 marks for general and OBC categories. Even for EBC students, the cut-off is much higher than your score. So, getting a seat in top colleges like Patna Medical College, Darbhanga Medical College, or IGIMS Patna is not possible with 468 marks.

Under All India Quota, the competition is even tougher. You need a score above 600 to get a seat in any government medical college through AIQ.

But you still have some options. You can try for private MBBS colleges in Bihar where the cut-off is lower, though the fees will be much higher. You may also get a seat in BAMS (Ayurveda), BHMS (Homeopathy), or BPT (Physiotherapy) in government or private colleges. These courses require lower NEET scores and have more availability.

If your budget is around 20 to 40 lakhs, you can also explore MBBS in other states or even abroad.