You haven't mentioned your Category. Neverthless, Ramaiah is a Private Medical College and all Private Medical Colleges have 3 types of seats. Category A is a Government Quota Category and here in 2019, 457 marks secured a seat under General Category. That was the cut off. For OBC it was 446. Under SC Category, 353 marks secured a seat in the same Category. 529 was the cut off for ST Category for Category A seats. So if you want a seat in MS Ramaiah Medical College, based on your Category, you should target atleast 40 -50 marks more. Now this is based on 2019 data and cut offs change every year. Cut offs change every year depending on various factors such as no.of Candidates appearing for the exam, no.of Candidates qualified, top NEET score and difficulty of the exam. To help you with your NEET preparation, we have NEET Knockout packages that you can check at: https://learn.careers360.com/knockout-neet-may/. To help you during admission and counselling, we have https://www.careers360.com/mbbs-companion.