Dear Madhukar, last year score of 423 secured seat in Osmania Medical College under STATE QUOTA for SC category.
At 478 you will get seat in any govt college of Telangana.
Heres the list of Medical colleges whose cut off was less than your score.

• Osmania Medical College, Hyderabad-443
  
• Gandhi Medical College, Secunderabad-442
  
• Kakatiya Medical College, Warangal-421
  
• Rajiv Gandhi Institute of Medical Sciences, Adilabad-393
  
• Government Medical College, Nizamabad-401
  
• Government Medical College, Mahabubnagar-407
  
• ESI Medical College, Hyderabad-423
  
• Government Medical College, Siddipet-400
  

You can also check the college predictor to predict your college.
https://medicine.careers360.com/neet-college-predictor
All the best.
Feel free to ask for any query.