With a score of 490, your rank might be approximately between 51498-58114. This is an expected rank range: https://medicine.careers360.com/articles/neet-result-marks-vs-rank . In 2019, under State Quota, 491 marks secured a seat in Kaithar Medical College under General Category. If you can sccore between 500-525,  you will have a chance in Kaithar Medical College. 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. For complete list of colleges that you may have a shot at, please use our College predictor: https://medicine.careers360.com/neet-college-predictor?