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It's not possible to secure a GMC seat with your given marks and ranks as per previous year data 486 marks with all india rank of 58051 secured a seat in ACSR GMC under SVU region, you may try for private colleges through state counselling or deemed universities such as  Raja Rajeshwari Medical College(Bengaluru), JLN Medical College, Datta  Meghe(Wardha), Bharati Vidyapeeth Deemed University Medical College(Pune) to name a few, cutoffs vary every year based on multiple factors such as seat matrix, marks obtained in exam, toughness level of paper, total number of candidates participating in the exam etc, check out previous year cut-offs at https://medicine.careers360.com/articles/neet-cutoff-ap , to know more about admission possibilities in various colleges you can use our NEET College Predictor; https://medicine.careers360.com/neet-college-predictor?icn=QnA&ici=qna_answer