Hey Anshika !
Well, considering the level of competition in 2019, I guess a score of 423 would fetch your friend a rank near to 1 lakh. At this rank, a govt. medical college won't be possible and that's quite certain.
Now, comes the question of Private Medical College.
Well, it would have been a lot better if you could have mentioned about the Category too. Nevertheless, for UR it wouldn't have been possible at all,
But comparing the data with that of 2018, the reserved categories did have a shot to get a seat in the Private Colleges through Management Quota and the fees for such are generally quite high, reaching well over 40 lakhs.
You can apply through State Quota too to check out possibilities or go for a BAMS degree too.
Meanwhile, go through the link below to find if at all a college can be fetched at this score :

https://medicine.careers360.com/neet-college-predictor?icn=neet-clgpd_landing-page&ici=prediction-section_c360-home

Good Luck !

Hello Anshika!.

At this score we can clearly say that there is no chance of getting a government medical college for MBBS.

But as she is also interested in private colleges so he can surely get any.

For this she should apply for home state quota counselling .

For more clarification you can visit.

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

Good luck

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