Hey,

With this marks you won't be able to get admission in any government medical College. Getting a seat in private self financing Medical Colleges will be equally touch because the cut off last year was 480+. You can try for BDS course or management quota seats. Check the following link for further information.

https://www.google.com/amp/s/medicine.careers360.com/articles/neet-cutoff-kerala/amp

All the best