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Hello,
It is unlikely that you will be accepted into a Bihar Government Medical College under the state quota(85%) through the Bihar combined entrance competitive examination board counselling if you have a need to 2025 score of 421 and EWS rank of 20771. This is specially true in the first round, as the EWS category is expected to have higher cutoff ranks. However, if there are still openings or if you are open to considering private medical colleges, you may have a shot in later rounds.
What you should do:
You can also consider NEET college predictor of career360 for detailed information.
Find out which MBBS, BDS, or Ayush colleges you can get into with your NEET 2025 score by using NEET 2025 College Predictor.
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