With a score of 539 and an All India Rank of 151358, you have options for pursuing MBBS in Punjab and potentially other states.

Punjab Options

- State Quota: You can apply for the 85% state quota seats in Punjab, which are primarily reserved for local candidates. Admission is based on NEET scores, and the cutoff varies each year.

Other States

- Broader Options: Consider applying to other states as well, especially those with lower cutoffs and good quality medical colleges. States like Uttar Pradesh may have colleges with lower fees and decent infrastructure.

Recommendations

- Research Colleges: Look for medical colleges in Punjab and other states that have lower cutoffs and good reputations. Use resources like college predictors to assess your chances.

- Counseling: Participate in counseling for both Punjab and other states to maximize your admission opportunities.

Ultimately, applying to multiple states may increase your chances of securing a seat in a good medical college.