Congratulations on qualifying NEET.

I believe at a GEN-EWS Rank of 4.5k secondly having home state advantage, you can sure secure a seat in one of the top State or Government Medical Institutes in Bihar. Some of the best medical institutes in Bihar state being, PMCH Patna, NMCH Patna, ANMMCH Gaya, Darbhanga Medical College and Hospital, SMCH Muzaffarpur as well as Vardhaman Institute of Medical Sciences. Most of the Medical Institutes in Bihar have good Infrastructure, faculty and hospital facilities.

Do keep a check on the State and Government Counselling procedure and dates.

Besides this you should also consider Good Private and State Medical Colleges in Karnataka under COMEDK. Medical Schools in Karnataka like BMCSRI, St Johns, KIMS Bangalore, MS Ramaiah provide excellent and in depth medical education and also come at a low budget.

For more information and college prediction do follow the link below

https://medicine.careers360.com/neet-college-predictor?icn=QnA&ici=qna_answer