Well, as you have mentioned about your cousin who has scored 440 in NEET 2020, so I would first suggest to check through this link

Now your cousin is from OBC category in Maharastra, https://medicine.careers360.com/articles/neet-cutoff-maharashtra you can go through this link for category wise cutoff in Maharastra ,thus you will be able to understand which college your cousin has a shot. Now, this the previous year's cutoff list, now cut off changes every year depending on several factors like

1. Total number of NEET aspirants appearing for the exam

2. The difficulty level of the NEET question paper 2020

3. Number of seats available in the MBBS and BDS colleges of the state

4. Rank in NEET 2020 merit list

Though your cousin doesn't have that much chance at government colleges but may have chances in semi or well established deemed private colleges.

https://medicine.careers360.com/neet-college-predictor?icn=QnA&ici=qna_answer You can also go through the following link for predicting other colleges in which you have chances.

With a score of 440, your rank might be approximately between 90825-99323.  This is an expected rank range: https://medicine.careers360.com/articles/neet-result-marks-vs-rank . Now regarding the Colleges that you may have a shot at, you have a chance in:

• IIMSR, Jalna
• VIMS, Palghar

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