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Hello,
With a score of 541 score you have good scope of admission in state quota counselling in government medical colleges. As you have a Open category quota for admission, you will have a comparatively lesser chance of admission but still your score is above 500 so that might be of some advantage for the purpose of admission. Most of the states have a cut off more than 500 for state quota counselling and therefore, you have good chance of admission through state quota in your own state.
Good Luck.
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