With a state rank of 10,000 in MP (Madhya Pradesh) and an All India Quota (AIQ) rank of 18,500, your chances of getting into a medical college will depend on several factors:

1. **State Quota Seats**: In Madhya Pradesh, government medical colleges typically have lower cut-offs for state quota seats compared to AIQ seats. With a state rank of 10,000, you might have a chance to secure a seat in government medical colleges, though it could be in a less popular or newly established college. It’s important to check the previous years' cut-offs for government colleges in MP to gauge your chances.

2. **AIQ Seats**: For AIQ seats, the competition is higher, and the cut-offs are generally more stringent. With an AIQ rank of 18,500, securing a seat in a government medical college may be challenging. However, you might have better prospects in private medical colleges or deemed universities, which often have higher cut-offs compared to government institutions.

3. **Private and Deemed Universities**: Consider applying to private and deemed medical colleges where the cut-offs may be more accommodating. They usually have higher fees, but they can offer viable options if government seats are not available.

4. **Counseling Rounds**: Participate in all counseling rounds and keep an eye on upgradation opportunities. Sometimes, seats become available due to changes or dropouts.

Ensure you stay updated with the counseling process and make informed decisions based on the latest cut-off data and availability.