Hi, since you have 441 marks with 141163 rank. So according to your question below I'm mentioning the medical colleges you can have under this rank in Kerala or in other neighbouring states;

• Osmania Medical College, Hyderabad
• MGM Medical College, Aurangabad
• Narayan Medical College and Hospital, Sasaram
• Madras Medical College, Madras
• Kannur Medical College Anjarakandy, Kannur
• Malabar Medical College Hospital and Research Centre, Calicut
• Academy of Medical Science, Pariyaram, Kannur
• MES Medical College and Hospital, Malappuram

Etc.

You can also visit on the below link to predict your college by your own on behalf of the the rank you have got(link mentioned below):-

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

Good Luck.