Every Rank matters because of the the availability of limited number of seats. Now if your rank has changed by approximately 2500 ranks, it will make s huge difference. First there are approximately 4890 MBBS seats available in Telangana and 15% of the seats are reserved for SC Category. Though your State Rank has changed, your All India Rank remains 154846.  Even with female reservation, it is difficult for a seat in Government Quota in MBBS. Having said that, this is based on 2019 data and cut offs change every year. 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. For a complete list of colleges that you may have a shot at, please use our College predictor: https://medicine.careers360.com/neet-college-predictor?icn=QnA&ici=qna_answer .