Hello

With 191 marks your rank must be around 643000.

With this rank the possibility of getting a mbbs college even in management quota nd with fees less than 1 lakh is really slim.

For bam, under SC category you can manage to get a seat with a rank till 500000 but with your rank the chances are not high however I will still recommend you to go for the AYUSH Counselling.

To check out the cutoff ranks of different colleges in Karnataka(including cutoff for AYUSH colleges) you can click on https://medicine.careers360.com/articles/neet-cutoff-karnataka