Abdul, MS Ramaiah is a Private Medical College and there are 3 Categories in Private Medical Colleges. Category A is the Government Quota Seats. And only candidates of the home State are eligible to apply for these seats. In 2019, 457 was the cut off under this Category for General Category. B Category seats are also called Management Quota Seats and they are filled through State Counselling and here in 2019, 477 was the cut off. So for both the quotas, unfortunately 260 is a less score. Having said that, the remaining seats are filled through direct Admissions by contacting the College directly provided the Candidate has registered for the respective State Counselling and has not been able to secure a seat in the Counselling. This is where you might have a chance. Here the fees is usually nothing less than 40 lakhs. The last Category is NRI seats Category and you cannot apply for that.