You mentioned your NEET score is 442 and  you are a general category candidate I would suggest to check the link for better clarification by predicting your rank https://medicine.careers360.com/neet-rank-predictor .

Factors on which NEET cutoff for government colleges depend:

1. The total sanctioned seat intake

2. The number of applications received by the Institute for admission

3. The performance of applicants in the NEET UG exam

4. Category under which admission is sought.

5. Previous years’ cutoff trends, etc.

Now, from previous year's cut off the score needed for general category for govt. seats is in the range of 350+ to 490+

So, it means you get a shot for the admission in Government college. https://medicine.careers360.com/colleges/list-of-bams-colleges-in-india you can go through this link for the college suggestions.

Now, in UP 5  top colleges are

1. Institute of Medical Sciences, Varanasi
2. Banaras Hindu University, Varanasi
3. CSJMU, Kanpur
4. Aligargh Unani Ayurvedic medical college and hospitals, Aligargh
5. Rama university, Kanpur.

Hopefully, this will help you.