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Hey there
Rank Letter and marks sheet has actually no difference. If you want to know about difference between online result which you get and rank letter then the difference is that rank letter is the valid proof of online result.
Check about neet
https://www.google.com/url?sa=t&source=web&rct=j&url=https://medicine.careers360.com/exams/neet/articles&ved=2ahUKEwjn_K6FiqjjAhXa63MBHZivBh4QFjALegQIAhAB&usg=AOvVaw0laqmZBKKx_qq07oCuxtI-
Good luck
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