With 438 will be difficult to get a Government Medical College unless you are from a state where the cut off vary around that score
Otherwise on the general not unless you are scoring in excess of 500 you are not getting into a Government Medical College availing the 85% state quota and to avail a Government Medical College availing the 15% all India quota you must be getting a score in excess of 580 to 600 out of 720.

National Eligibility cum Entrance Test

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