In 2019, under State Quota, 481 marks secured a seat in Rangaraya Medical College under SC Category. That was the cut off. With a score of 491 you do have borderline chances. Having said that, 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. For a complete list of colleges that you may have a shot at, please use our College predictor: https://medicine.careers360.com/neet-college-predictor?icn=QnA&ici=qna_answer